DR. KAREN A SULLIVAN MD
NPI 1144286584
Internal Medicine in Wyndmoor, PA
About Dr. Karen A Sullivan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAREN A SULLIVAN MD (NPI 1144286584) is an individual internal medicine provider in Wyndmoor, Pennsylvania, licensed in Pennsylvania (MD042254E) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Medical College Of Pennsylvania (1987).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Karen A Sullivan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Karen Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 176 clinicians in this Medicare group
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple Health - Chestnut Hill Hospital
Acute Care Hospitals · Philadelphia, PAHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAChester County Hospital
Acute Care Hospitals · West Chester, PADoylestown Hospital
Acute Care Hospitals · Doylestown, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYNDMOOR, PA 19038
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Karen Sullivan's NPI number?
The NPI number for Karen Sullivan is 1144286584. It was assigned to this individual provider in the NPPES registry on April 25, 2006. The provider is also known as Dr. Karen A Spielberger.
Where is Karen Sullivan located?
Karen Sullivan practices at 8200 Flourtown Avenue, Wyndmoor, PA 19038. The listed phone number is (215) 836-5100.
What is Karen Sullivan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Karen Sullivan enrolled in Medicare?
Yes. Karen Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Karen Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Sullivan reassigns Medicare benefits to 2 organizations: Chestnut Hill Clinic Company, LLC (Philadelphia, PA) and Clinical Care Associates Of The University Of Pennsylvania Health Syst (Bala Cynwyd, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Sullivan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Karen Sullivan affiliated with any hospitals?
According to CMS data, Karen Sullivan is affiliated with Temple Health - Chestnut Hill Hospital, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Doylestown Hospital and Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for Karen Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Karen A Sullivan, MD · NPI 1144286584
Internal Medicine physician in Wyndmoor, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 25, 2006.
## Identity
- **NPI:** 1144286584 (Entity type: Individual)
- **Enumerated:** April 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD042254E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 8200 FLOURTOWN AVENUE, Wyndmoor, PA 19038
- **Phone:** (215) 836-5100 · **Fax:** (215) 836-6011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chestnut Hill Clinic Company, LLC (NPI 1285274969, Philadelphia, PA); Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1790737468, Bala Cynwyd, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Pennsylvania, class of 1987
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144286584) · Data from the CMS NPPES public registry.