DR. TIMOTHY SULLIVAN D.C.
NPI 1174988240
Chiropractor in Saint Louis, MO
About Dr. Timothy Sullivan D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY SULLIVAN D.C. (NPI 1174988240) is an individual chiropractor in Saint Louis, Missouri, licensed in Missouri (2016000617) and active in the NPI registry since December 2015. He is a graduate of Logan College Of Chiropractic (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Timothy Sullivan D.c. 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Timothy Sullivan's NPI number?
The NPI number for Timothy Sullivan is 1174988240. It was assigned to this individual provider in the NPPES registry on December 16, 2015.
Where is Timothy Sullivan located?
Timothy Sullivan practices at 11339 Gravois Rd, Saint Louis, MO 63126. The listed phone number is (314) 842-1616.
What is Timothy Sullivan's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Timothy Sullivan enrolled in Medicare?
Yes. Timothy 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.
What insurance does Timothy Sullivan accept?
Health plans from Medica list Timothy 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 Timothy Sullivan was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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. Timothy Sullivan, D.C. · NPI 1174988240
Chiropractor provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since December 16, 2015.
## Identity
- **NPI:** 1174988240 (Entity type: Individual)
- **Enumerated:** December 16, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2016000617 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 11339 GRAVOIS RD, Saint Louis, MO 63126-3623
- **Phone:** (314) 842-1616
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Logan College Of Chiropractic, class of 2015
## Record status
- **NPPES last updated:** October 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1174988240) · Data from the CMS NPPES public registry.