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ELIZABETH A SULLIVAN DO
NPI 1407173172
Family Medicine in Huntington, NY

Active since April 21, 2010PECOS Enrolled
119 WOODBURY RD, HUNTINGTON, NY 11743(631) 546-8953(631) 423-1514 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elizabeth A Sullivan Do NPPES

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

ELIZABETH A SULLIVAN DO (NPI 1407173172) is an individual family medicine provider in Huntington, New York, licensed in New York (281207) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407173172
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH A SULLIVANCredential: DO
Location Address119 WOODBURY RDHuntington, NY 11743-4135
Mailing Address119 Woodbury RdHuntington, NY 11743-4135 · (631) 546-8953 · Fax (631) 423-1514
Phone(631) 546-8953
Fax(631) 423-1514
Sole ProprietorYes
Enumeration DateApril 21, 2010
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1407173172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 281207
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.
119 WOODBURY RD, Huntington, NY 11743
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth A Sullivan Do 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.

Medicare Billing Reassignment

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

Southwest Suffolk Medical, P.C.
11 mi
Surgical Oncology
48 ROUTE 25A
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Southwest Suffolk Medical PC
  • 348 clinicians in this Medicare group
NPI 1104096049 (631) 862-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 2

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

DIRECT HOUSE MEDICAL PLLC
Surgery
119 WOODBURY RD
HUNTINGTON, NY 11743
Suffolk County (917) 515-7819
DR. JUAN F LESSMANN M.D.
General Practice
119 WOODBURY RD
HUNTINGTON, NY 11743
Suffolk County (917) 515-7819

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 Elizabeth Sullivan's NPI number?

The NPI number for Elizabeth Sullivan is 1407173172. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Elizabeth Sullivan located?

Elizabeth Sullivan practices at 119 Woodbury Rd, Huntington, NY 11743. The listed phone number is (631) 546-8953.

What is Elizabeth Sullivan's specialty?

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

Is Elizabeth Sullivan enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Sullivan reassigns Medicare benefits to Southwest Suffolk Medical, P.C. (Smithtown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Sullivan was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.