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MICHAEL W. SULLIVAN M.D.
NPI 1275576944
General Practice in Fort Knox, KY

Active since June 13, 2006PECOS Enrolled
1600 SPEARHEAD DIVISION AVE DEPT 140, FORT KNOX, KY 40122(502) 613-4605(502) 613-4549 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael W. Sullivan M.d. NPPES

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

MICHAEL W. SULLIVAN M.D. (NPI 1275576944) is an individual general practice provider in Fort Knox, Kentucky, licensed in Kentucky (30828) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275576944
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMICHAEL W. SULLIVANCredential: M.D.
Location Address1600 SPEARHEAD DIVISION AVE DEPT 140Fort Knox, KY 40122-5104
Mailing Address1600 Spearhead Division Ave Dept 140Fort Knox, KY 40122-5104 · (502) 613-4605 · Fax (502) 613-4549
Phone(502) 613-4605
Fax(502) 613-4549
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 24, 2014
✔ NPI 1275576944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 30828
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20770 (NE)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 37645020 (WI)
1600 SPEARHEAD DIVISION AVE DEPT 140, Fort Knox, KY 40122
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Other Identifiers 5

Medicaid47600743612NE
Medicaid47600743621NE
Medicaid47600743622NE
Medicare UPING27320
Medicaid47600743623NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael W. Sullivan M.d. 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.

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1275576944. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Michael Sullivan located?

Michael Sullivan practices at 1600 Spearhead Division Ave Dept 140, Fort Knox, KY 40122. The listed phone number is (502) 613-4605.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Sullivan enrolled in Medicare?

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

What insurance does Michael Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Michael 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 Michael Sullivan was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.