MICHAEL K SULLIVAN PA-C
NPI 1558914960
Physician Assistant - Surgical in New Haven, CT
About Michael K Sullivan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL K SULLIVAN PA-C (NPI 1558914960) is an individual surgical provider in New Haven, Connecticut, licensed in Connecticut (4657) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Michael K Sullivan Pa-c 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Michael Sullivan's NPI number?
The NPI number for Michael Sullivan is 1558914960. It was assigned to this individual provider in the NPPES registry on July 24, 2019.
Where is Michael Sullivan located?
Michael Sullivan practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.
What is Michael Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Michael Sullivan enrolled in Medicare?
Yes. Michael 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.
When was this NPI record last updated?
The NPPES record for Michael Sullivan was last updated on May 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Michael K Sullivan, PA-C · NPI 1558914960
Surgical physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since July 24, 2019.
## Identity
- **NPI:** 1558914960 (Entity type: Individual)
- **Enumerated:** July 24, 2019
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 4657 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 YORK ST, New Haven, CT 06510-3220
- **Phone:** (203) 688-4242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1558914960) · Data from the CMS NPPES public registry.