DR. MAIA ELISE SULLIVAN DO
NPI 1609361344
Obstetrics & Gynecology in Wyoming, MI

Q: What is Maia Sullivan's NPI number?

The NPI number for Maia Sullivan is 1609361344. It was assigned to this individual provider in the NPPES registry on June 26, 2018. The provider is also known as Dr. Maia Elise Sullivan Do.

Q: What is Maia 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 Maia Sullivan was last updated on March 19, 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.

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment

5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7604(616) 252-0391 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2020, Jun 26, 2018 (2 updates tracked since 2018).

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About Dr. Maia Elise Sullivan Do NPPES

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

DR. MAIA ELISE SULLIVAN DO (NPI 1609361344) is an individual obstetrics & gynecology provider in Wyoming, Michigan, licensed in Michigan (51010224168) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609361344

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MAIA ELISE SULLIVANCredential: DO

Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9686

Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9686 · (616) 252-7604 · Fax (616) 252-0391

Phone(616) 252-7604

Fax(616) 252-0391

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 26, 2018

Last NPPES UpdateMarch 19, 20202 updates tracked since enumeration

NPPES CertifiedMarch 19, 2020

✔ NPI 1609361344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 51010224168

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.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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Other Names 1

Other Name (5)Dr. Maia Elise Sullivan Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

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

Dr. Maia Elise Sullivan Do 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 ID4284980293

PECOS Enrollment IDI20220618000373

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230236

Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

MATTHEW AARON ERCK DO

Internal Medicine