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JACOB A O'SULLIVAN MD
NPI 1477084846
Anesthesiology in Indianapolis, IN

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227(317) 887-7000 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 18, 2024, Feb 7, 2023, Jul 16, 2021 and 1 more (4 updates tracked since 2017).

About Jacob A O'sullivan Md NPPES

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

JACOB A O'SULLIVAN MD (NPI 1477084846) is an individual anesthesiology provider in Indianapolis, Indiana, licensed in Indiana (01083515A) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Community Hospital South, Inc., and maintains a secondary practice location in Muncie.

NPPES Registry Identity

NPI1477084846
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACOB A O'SULLIVANCredential: MD
Location Address1402 E COUNTY LINE RDIndianapolis, IN 46227-0963
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 887-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1477084846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IN · 01083515A
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1402 E COUNTY LINE RD, Indianapolis, IN 46227
Open in Google Maps ↗

Secondary Practice Location 1

Location 12401 W University AveMuncie, IN 47303-3428 · Phone (765) 741-1095

Other Identifiers 2

Medicaid300018096IN
Other264430B66IN · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob A O'sullivan Md 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 ID8921377185
PECOS Enrollment IDI20210719001324
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 Reassignments

3

Medicare enrollment records show Jacob O'sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Care Associates, Inc
10 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
Community Physicians Of Indiana Inc
18 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555
Community Anesthesia Associates, PC
19 mi
Anesthesiology
8040 CLEARVISTA PKWY
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 86 clinicians in this Medicare group
NPI 1386695930 (317) 567-2180

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

Areas of Expertise CMS Part B claims 2

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.

Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
21 services19 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

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.

CORTNIE N YODER
Physician Assistant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Marion County (317) 887-7805
THOMAS GANSMAN MD
Personal Emergency Response Attendant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Marion County (317) 887-7000
DR. IAN SEAN SCHARRER M.D.
Internal Medicine
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Marion County (317) 887-7805
FAHEEM A. ABBASI MD
Internal Medicine (Pulmonary Disease)
1402 E COUNTY LINE RD, SUITE 2400
INDIANAPOLIS, IN 46227
Marion County (317) 887-7000
SAMUEL BARNACK
Anesthesiologist Assistant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Marion County (317) 887-7000
SOUTHSIDE EMERGENCY ASSOCIATES
Personal Emergency Response Attendant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Marion County (317) 887-7000
JASJIT KAUR MUDHAR MD
Hospitalist
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Marion County (317) 887-7805
KATELYN ELIZABETH DENAULT PA-C
Physician Assistant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Marion County (317) 887-7000

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 Jacob O'sullivan's NPI number?

The NPI number for Jacob O'sullivan is 1477084846. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Jacob O'sullivan located?

Jacob O'sullivan practices at 1402 E County Line Rd, Indianapolis, IN 46227. The listed phone number is (317) 887-7000.

What is Jacob O'sullivan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacob O'sullivan enrolled in Medicare?

Yes. Jacob O'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.

Which organizations bill Medicare for Jacob O'sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob O'sullivan reassigns Medicare benefits to 3 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN), Community Physicians Of Indiana Inc (Indianapolis, IN) and Community Anesthesia Associates, PC (Indianapolis, IN). Each 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 Jacob O'sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob O'sullivan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jacob O'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 Jacob O'sullivan affiliated with any hospitals?

According to CMS data, Jacob O'sullivan is affiliated with Community Hospital South, Inc..

When was this NPI record last updated?

The NPPES record for Jacob O'sullivan was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.