JOHN S SULLIVAN DDS
NPI 1457471633
Dentist - General Practice in Mundelein, IL
About John S Sullivan Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN S SULLIVAN DDS (NPI 1457471633) is an individual general practice provider in Mundelein, Illinois and active in the NPI registry since March 2007. He has opted out of Medicare through May 18, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
John S Sullivan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2016 through May 18, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Sullivan's NPI number?
The NPI number for John Sullivan is 1457471633. It was assigned to this individual provider in the NPPES registry on March 30, 2007.
Where is John Sullivan located?
John Sullivan practices at 328 N Lake St, Mundelein, IL 60060. The listed phone number is (847) 566-5560.
What is John Sullivan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is John Sullivan enrolled in Medicare?
No. John Sullivan has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does John Sullivan accept?
Health plans from Delta Dental of Wisconsin, Inc. and Humana list John Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John S Sullivan, DDS · NPI 1457471633
General Practice provider in Mundelein, Illinois. Individual provider, active in the CMS NPPES registry since March 30, 2007.
## Identity
- **NPI:** 1457471633 (Entity type: Individual)
- **Enumerated:** March 30, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Sole proprietor:** No
## Practice location
- **Address:** 328 N LAKE ST, Mundelein, IL 60060
- **Phone:** (847) 566-5560 · **Fax:** (847) 566-1311
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1457471633) · Data from the CMS NPPES public registry.