JAMES E SULLIVAN III D.O.
NPI 1467560292
Internal Medicine - Nephrology in Reno, NV

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
5437 KIETZKE LN, RENO, NV 89511(775) 322-4550(775) 322-4776 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2024, Apr 3, 2024, Nov 30, 2022 (3 updates tracked since 2022).

About James E Sullivan Iii D.o. NPPES

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

JAMES E SULLIVAN III D.O. (NPI 1467560292) is an individual nephrology provider in Reno, Nevada, licensed in Nevada (1097) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467560292
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJAMES E SULLIVAN IIICredential: D.O.
Location Address5437 KIETZKE LNReno, NV 89511-1088
Mailing Address5437 Kietzke LnReno, NV 89511-1088 · (775) 322-4550 · Fax (775) 322-4776
Fax(775) 322-4776
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1998
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1467560292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NV · 1097
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

5437 KIETZKE LN, Reno, NV 89511

Secondary Practice Locations 3

Location 12345 E Prater Way Ste 102Sparks, NV 89434-9664 · Phone (775) 322-4550 · Fax (775) 322-4956
Location 26 Steptoe CirEly, NV 89301-2692 · Phone (775) 322-4550 · Fax (775) 322-4956
Location 31995 Errecart Blvd Ste 205Elko, NV 89801-8337 · Phone (775) 322-4550 · Fax (775) 322-4956

Other Identifiers 1

Other11299872NV · Caqh

Accepted 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

James E Sullivan Iii D.o. 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 ID3870569759
PECOS Enrollment IDI20040902001193, I20221202001477
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 15

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.
647 services337 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
316 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
300 services105 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
170 services41 patients
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420
This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
123 services48 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
107 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

Saint Mary's Regional Medical Center

Acute Care Hospitals · Reno, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290009
Location235 W 6th StReno, NV 89503 · Washoe County
Emergency services

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290019
Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County
Emergency services Birthing friendly

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290032
Location2375 E Prater WaySparks, NV 89434 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89511 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers32 claims2,355 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers32 claims4,620 services$0.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers16 claims3,412 services$0.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers38 claims38 services$18.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
9 suppliers43 claims51 services$12.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Nephrology)
5437 KIETZKE LN
RENO, NV 89511
Nurse Practitioner (Family)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Pulmonary Disease)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Nephrology)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Infectious Disease)
5437 KIETZKE LN
RENO, NV 89511
Clinical Nurse Specialist (Adult Health)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Pulmonary Disease)
5437 KIETZKE LN
RENO, NV 89511

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 1467560292. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is James Sullivan located?

James Sullivan practices at 5437 Kietzke Ln, Reno, NV 89511. The listed phone number is (775) 322-4550.

What is James Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Sullivan enrolled in Medicare?

Yes. James 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.

What insurance does James Sullivan accept?

Health plans from Ambetter from Arizona Complete Health and McLaren Health Plan Community list James 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.

Is James Sullivan affiliated with any hospitals?

According to CMS data, James Sullivan is affiliated with Renown Regional Medical Center, Northeastern Nevada Regional Hospital, Saint Mary's Regional Medical Center, Carson Tahoe Regional Medical Center and Northern Nevada Medical Center.

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.