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DR. PATRICK SCOTT SULLIVAN MD
NPI 1215632625
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 04, 2023PECOS Enrolled
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(901) 759-3275 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, May 19, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Dr. Patrick Scott Sullivan Md NPPES

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

DR. PATRICK SCOTT SULLIVAN MD (NPI 1215632625) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215632625
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PATRICK SCOTT SULLIVANCredential: MD
Location AddressUNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447Memphis, TN 38163-0001
Mailing Address1211 Union Ave Ste 500Memphis, TN 38104-6656 · (214) 457-5323
Phone(901) 759-3275
Sole ProprietorNo
Enumeration DateApril 4, 2023
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1215632625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, Memphis, TN 38163
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Scott Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. MOHAMED KAMAL MAHMOUD ELNAEIM MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
DR. VIRGINIA KATHERINE NISBET DO
Emergency Medicine
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 396-6449
DR. AKINTAYO ADEDAPO AKINLEYE MD, MPH, CIC
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5759
MONISHA KRISHNA MURTHY MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-3714
SAMUEL HENRY SMITH M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5885
DR. DHAVAL S SHAH MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
DR. REMA KANAKRIEH DO
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 396-6454
DANIEL SLABAUGH DO
Pediatrics
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814

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 Patrick Sullivan's NPI number?

The NPI number for Patrick Sullivan is 1215632625. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Patrick Sullivan located?

Patrick Sullivan practices at University Of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163. The listed phone number is (901) 759-3275.

What is Patrick Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Patrick Sullivan enrolled in Medicare?

Yes. Patrick Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Sullivan was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.