ERIC SULLIVAN MD
NPI 1326507567
Family Medicine in Chicago, IL

Q: What is Eric Sullivan's NPI number?

The NPI number for Eric Sullivan is 1326507567. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Eric Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Sullivan was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 18, 2019PECOS EnrolledAccepts Medicare Assignment

2750 W NORTH AVE, CHICAGO, IL 60647(312) 666-3494 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2021, Mar 18, 2019 (2 updates tracked since 2019).

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About Eric Sullivan Md NPPES

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

ERIC SULLIVAN MD (NPI 1326507567) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125075200) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2019).

NPPES Registry Identity

NPI1326507567

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameERIC SULLIVANCredential: MD

Location Address2750 W NORTH AVEChicago, IL 60647-5247

Mailing Address3515 N Marshfield Ave Apt 2Chicago, IL 60657-1224 · (702) 378-0963

Phone(312) 666-3494

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1326507567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 125075200✔ Licensed in IL · 125.075200

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2750 W NORTH AVE, Chicago, IL 60647

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Eric 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 ID42544728

PECOS Enrollment IDI20220913002645

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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 20

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

SILVIA DIAZ LCSW

Social Worker (Clinical)