KEVIN MICHAEL SULLIVAN MD
NPI 1306264890
Surgery - Surgical Oncology in New Orleans, LA

Q: What is Kevin Sullivan's NPI number?

The NPI number for Kevin Sullivan is 1306264890. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Q: What is Kevin Sullivan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Sullivan was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment

2021 PERDIDO ST FL 8, NEW ORLEANS, LA 70112(504) 568-4750(504) 568-2202 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2024, Jun 24, 2021 (2 updates tracked since 2021).

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About Kevin Michael Sullivan Md NPPES

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

KEVIN MICHAEL SULLIVAN MD (NPI 1306264890) is an individual surgical oncology provider in New Orleans, Louisiana, licensed in Louisiana (340298) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306264890

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameKEVIN MICHAEL SULLIVANCredential: MD

Location Address2021 PERDIDO ST FL 8New Orleans, LA 70112-1352

Mailing Address2021 Perdido St Fl 8New Orleans, LA 70112-1352 · (504) 568-4750

Phone(504) 568-4750

Fax(504) 568-2202

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2014

Enumeration DateApril 1, 2014

Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2024

✔ NPI 1306264890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in LA · 340298

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License A171748 (CA), ML60475569 (WA)

2021 PERDIDO ST FL 8, New Orleans, LA 70112

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Secondary Practice Locations 2

Location 11500 E. Duarte Rd, MALP 02.062Duarte, CA 91010 · Phone (414) 379-6223

Location 21959 NE Pacific St, Box 356410Seattle, WA 98195-0001 · Phone (206) 543-3687

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Kevin Michael 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.

PECOS PAC ID446579270

PECOS Enrollment IDI20240404003669

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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Louisiana State University School Of Medicine In New Orleans Faculty G

0.1 mi

Multi-Specialty

478 S JOHNSON ST FL 6
New Orleans, LA 70112

Reassigned Medicare billing, Louisiana enrollment
931 clinicians in this Medicare group

NPI 1477582526 (504) 412-1819

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190005

Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$170.30 typical visit price

range $55.50 – $170.30

Typical copayment $42.57 (range $13.87 – $42.57)

Most-billed visit code 99205

Established Patient

$69.44 typical visit price

range $17.42 – $138.03

Typical copayment $17.36 (range $4.35 – $34.50)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

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