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DR. JOSEPH T SULLIVAN DDS
NPI 1487771135
Dentist - General Practice in Downers Grove, IL

Active since March 26, 2007Opted out of Medicare · through May 20, 2028
3450 LACEY RD, DOWNERS GROVE, IL 60515(630) 743-4500(630) 743-4940 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Joseph T Sullivan Dds NPPES

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

DR. JOSEPH T SULLIVAN DDS (NPI 1487771135) is an individual general practice provider in Downers Grove, Illinois, licensed in Illinois (019021278) and active in the NPI registry since March 2007. He has opted out of Medicare through May 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487771135
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOSEPH T SULLIVANCredential: DDS
Location Address3450 LACEY RDDowners Grove, IL 60515-5430
Mailing Address3450 Lacey RdDowners Grove, IL 60515-5430 · (630) 743-4500 · Fax (630) 743-4940
Phone(630) 743-4500
Fax(630) 743-4940
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1487771135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019021278
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3450 LACEY RD, Downers Grove, IL 60515
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joseph T 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 20, 2022 through May 20, 2028.

Opt-Out Effective DateMay 20, 2022
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

DR. AARLAN VINCENT ACETO OD
Optometrist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4807
BEHNAM DARVISHAN DMD
Dentist (General Practice)
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
RITA ANDREJA SINCLAIR PA-C
Physician Assistant
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-7500
DR. KIMBERLY A HUNTINGTON-ALFANO D.O.
Family Medicine
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
MIDWESTERN UNIVERSITY
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
MS. KIMBERLY S HOFFER M.A., CCC-SLP
Speech-Language Pathologist
3450 LACEY RD, ALUMNI HALL 206
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
JESSICA N CONROY OD
Optometrist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
LAUREN MAXON FERGUSON CCC-SLP
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500

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 Joseph Sullivan's NPI number?

The NPI number for Joseph Sullivan is 1487771135. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Joseph Sullivan located?

Joseph Sullivan practices at 3450 Lacey Rd, Downers Grove, IL 60515. The listed phone number is (630) 743-4500.

What is Joseph Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Joseph Sullivan enrolled in Medicare?

No. Joseph Sullivan has opted out of Medicare through May 20, 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.

When was this NPI record last updated?

The NPPES record for Joseph Sullivan was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.