JAMES MICHAEL SULLIVAN MD
NPI 1417059338
Internal Medicine in Warrensburg, NY

Active since September 01, 2006PECOS Enrolled
3767 MAIN ST, WARRENSBURG, NY 12885(518) 623-2844(518) 623-3416 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Michael Sullivan Md NPPES

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

JAMES MICHAEL SULLIVAN MD (NPI 1417059338) is an individual internal medicine provider in Warrensburg, New York, licensed in New York (096823) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417059338
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES MICHAEL SULLIVANCredential: MD
Location Address3767 MAIN STWarrensburg, NY 12885-1837
Mailing Address9 Carey RoadQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 480-0108
Fax(518) 623-3416
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateAugust 27, 2009
NPI 1417059338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 096823
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3767 MAIN ST, Warrensburg, NY 12885

Other Identifiers 2

Medicare UPIND72342
Medicare ID-Type Unspecified56464E

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

James Michael Sullivan Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12885 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Clinical Medical Laboratory
3767 MAIN ST
WARRENSBURG, NY 12885
Clinic/Center (Primary Care)
3767 MAIN ST
WARRENSBURG, NY 12885
Physician Assistant
3767 MAIN ST
WARRENSBURG, NY 12885
Internal Medicine
3767 MAIN ST
WARRENSBURG, NY 12885
Social Worker (Clinical)
3767 MAIN ST
WARRENSBURG, NY 12885
Advanced Practice Midwife
3767 MAIN ST
WARRENSBURG, NY 12885
Nurse Practitioner (Psychiatric/Mental Health)
3767 MAIN ST
WARRENSBURG, NY 12885
Nurse Practitioner (Family)
3767 MAIN ST
WARRENSBURG, NY 12885

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 James Sullivan's NPI number?

The NPI number for James Sullivan is 1417059338. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is James Sullivan located?

James Sullivan practices at 3767 Main St, Warrensburg, NY 12885. The listed phone number is (518) 623-2844.

What is James Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.