SCOTT KEITH SULLIVAN JR. MD
NPI 1154344000
Surgery - Plastic and Reconstructive Surgery in New Orleans, LA

Active since July 25, 2006Opted out of Medicare · through Apr 1, 2027
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130(504) 899-2800 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott Keith Sullivan Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT KEITH SULLIVAN JR. MD (NPI 1154344000) is an individual plastic and reconstructive surgery provider in New Orleans, Louisiana, licensed in Louisiana (MD.021287) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154344000
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameSCOTT KEITH SULLIVAN JR.Credential: MD
Location Address1717 SAINT CHARLES AVENew Orleans, LA 70130-5223
Mailing AddressPo Box 8664Metairie, LA 70011-8664 · (504) 899-2800
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 7, 2016
NPI 1154344000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in LA · MD.021287
Definition

A surgeon who specializes in plastic and reconstructive surgery.

1717 SAINT CHARLES AVE, New Orleans, LA 70130

Other Identifiers 3

Medicare PIN5N822LA
Medicare UPINF13286
Medicaid192322LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Scott Keith Sullivan Jr. Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Plastic and Reconstructive Surgery)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant (Surgical)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Anesthesiology
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Nurse Practitioner (Family)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Surgery (Plastic and Reconstructive Surgery)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130

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 Scott Sullivan's NPI number?

The NPI number for Scott Sullivan is 1154344000. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Scott Sullivan located?

Scott Sullivan practices at 1717 Saint Charles Ave, New Orleans, LA 70130. The listed phone number is (504) 899-2800.

What is Scott Sullivan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Scott Sullivan enrolled in Medicare?

No. Scott Sullivan has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Scott Sullivan accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Health Plan, Inc. list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Sullivan was last updated on January 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.