DR. NEIL MICHAEL SULLIVAN M.D.
NPI 1346215464
Internal Medicine - Rheumatology in Norfolk, VA

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
844 KEMPSVILLE RD STE 103B, NORFOLK, VA 23502(757) 261-0200(757) 261-0201 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Nov 17, 2021 (2 updates tracked since 2021).

About Dr. Neil Michael Sullivan M.d. NPPES

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

DR. NEIL MICHAEL SULLIVAN M.D. (NPI 1346215464) is an individual rheumatology provider in Norfolk, Virginia, licensed in Virginia (0101057020) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1988).

NPPES Registry Identity

NPI1346215464
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NEIL MICHAEL SULLIVANCredential: M.D.
Location Address844 KEMPSVILLE RD STE 103BNorfolk, VA 23502-3927
Mailing Address844 Kempsville Rd Ste 103bNorfolk, VA 23502-3927 · (757) 261-0200 · Fax (757) 261-0201
Fax(757) 261-0201
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1988
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1346215464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in VA · 0101057020
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
844 KEMPSVILLE RD STE 103B, Norfolk, VA 23502

Other Identifiers 1

Medicaid005811147VA

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. Neil Michael Sullivan M.d. 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 ID2860543725
PECOS Enrollment IDI20090706000630
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 6

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.
676 services345 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
526 services526 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
204 services156 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
131 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
102 services102 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
18 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Rheumatology)
844 KEMPSVILLE RD STE 103B
NORFOLK, VA 23502
Nurse Practitioner (Family)
844 KEMPSVILLE RD STE 103B
NORFOLK, VA 23502
Internal Medicine (Rheumatology)
844 KEMPSVILLE RD STE 103B
NORFOLK, VA 23502
Internal Medicine (Rheumatology)
844 KEMPSVILLE RD STE 103B
NORFOLK, VA 23502
Internal Medicine (Rheumatology)
844 KEMPSVILLE RD STE 103B
NORFOLK, VA 23502

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 Neil Sullivan's NPI number?

The NPI number for Neil Sullivan is 1346215464. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Neil Sullivan located?

Neil Sullivan practices at 844 Kempsville Rd Ste 103B, Norfolk, VA 23502. The listed phone number is (757) 261-0200.

What is Neil Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Neil Sullivan enrolled in Medicare?

Yes. Neil 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.

Is Neil Sullivan affiliated with any hospitals?

According to CMS data, Neil Sullivan is affiliated with Sentara Norfolk General Hospital, Bon Secours Maryview Medical Center, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Neil Sullivan was last updated on June 13, 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.