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

Q: What is Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1588893564. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Q: What is Mary Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Sullivan was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment

133 W MAIN ST # 240, EL CAJON, CA 92020(619) 401-0404 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Loraine Sullivan Md NPPES

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

MARY LORAINE SULLIVAN MD (NPI 1588893564) is an individual obstetrics & gynecology provider in El Cajon, California, licensed in California (132556) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2009).

NPPES Registry Identity

NPI1588893564

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMARY LORAINE SULLIVANCredential: MD

Location Address133 W MAIN ST # 240El Cajon, CA 92020-3315

Mailing Address133 W Main St # 240El Cajon, CA 92020-3315 · (619) 401-0404

Phone(619) 401-0404

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2009

Enumeration DateJuly 10, 2009

Last NPPES UpdateApril 2, 2018

✔ NPI 1588893564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · 132556

Definition

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.

133 W MAIN ST # 240, El Cajon, CA 92020

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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

Mary Loraine 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 ID5799926747

PECOS Enrollment IDI20130802000449, I20150806010405

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92020 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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 Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1588893564. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Mary Sullivan located?

Mary Sullivan practices at 133 W Main St # 240, El Cajon, CA 92020. The listed phone number is (619) 401-0404.

What is Mary Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Sullivan enrolled in Medicare?

Yes. Mary 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 Mary Sullivan was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.