MARY LORAINE SULLIVAN MD
NPI 1588893564
Obstetrics & Gynecology in El Cajon, CA

NPI Status: Active since July 10, 2009

Contact Information

133 W MAIN ST # 240
EL CAJON, CA
ZIP 92020
Phone: (619) 401-0404

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  • Individual
  • Male
  • Obstetrics & Gynecology
  • PECOS Enrolled

About MARY SULLIVAN

This page provides the complete NPI Profile along with additional information for Mary Sullivan, a women's health care provider established in El Cajon, California with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1588893564 assigned on July 2009. The practitioner's primary taxonomy code is 207V00000X with license number 132556 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1588893564
Provider Name
MARY LORAINE SULLIVAN MD
Gender
Male
Entity Type
Individual
Location Address
133 W MAIN ST # 240 EL CAJON, CA 92020
Location Phone
(619) 401-0404
Mailing Address
133 W MAIN ST # 240 EL CAJON, CA 92020
Mailing Phone
(619) 401-0404
Is Sole Proprietor?
No
Enumeration Date
07-10-2009
Last Update Date
04-02-2018
Code Navigator

Women's health care providers like Mary Sullivan treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Secondary Locations

  • 8851 Center Dr Ste 210
    LA Mesa, CA 91942
    (619) 463-7775

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
132556
License State
CA
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Medicare Participation & PECOS Enrollment Status

Mary Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92020 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $140.22
  • Minimum New Patient Price $62.1
  • Maximum New Patient Price $184.71
  • Average New Patient Copayment $35.05
  • Minimum New Patient Copayment $15.52
  • Maximum New Patient Copayment $46.17

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $76.87
  • Minimum Established Patient Price $20.62
  • Maximum Established Patient Price $151.42
  • Average Established Patient Copayment $19.21
  • Minimum Established Patient Copayment $5.15
  • Maximum Established Patient Copayment $37.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588893564
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681696512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 6 + 5 + 1 + 2 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1588893564 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588893564, enumerated as an "individual" on July 10, 2009.

The provider is located at 133 W MAIN ST # 240 EL CAJON, CA 92020 and the phone number is (619) 401-0404.

Obstetrics & Gynecology with taxonomy code 207V00000X.