JOHN L SULLIVAN PAC
NPI 1548249477
Physician Assistant in Dover, DE
About John L Sullivan Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN L SULLIVAN PAC (NPI 1548249477) is an individual physician assistant in Dover, Delaware, licensed in Delaware (C50000356) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John L Sullivan Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19904 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOVER, DE 19904
DOVER, DE 19904
DOVER, DE 19904
DOVER, DE 19904
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 1548249477. It was assigned to this individual provider in the NPPES registry on January 10, 2006.
Where is John Sullivan located?
John Sullivan practices at 540 S Governors Ave Suite 101A, Dover, DE 19904. The listed phone number is (302) 744-7980.
What is John Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Sullivan enrolled in Medicare?
Yes. John Sullivan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Sullivan was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 L Sullivan, PAC · NPI 1548249477
Physician Assistant physician in Dover, Delaware. Individual provider, active in the CMS NPPES registry since January 10, 2006.
## Identity
- **NPI:** 1548249477 (Entity type: Individual)
- **Enumerated:** January 10, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** C50000356 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 540 S GOVERNORS AVE, SUITE 101A, Dover, DE 19904-3530
- **Phone:** (302) 744-7980 · **Fax:** (302) 744-7989
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 7, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 013981S72 (DE); Medicare PIN 010768D18 (DE); Medicare UPIN P75206
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Source: [NPI Profile](https://npiprofile.com/npi/1548249477) · Data from the CMS NPPES public registry.