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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KENNETH P SULLIVAN MD
NPI 1619929478
Radiology - Neuroradiology in Geneva, IL

Active since May 17, 2006
100/100
CMS Quality Rating
1416C SOUTH RANDALL ROAD, RANDALL SQUARE SHOPPING CENTER, GENEVA, IL 60134(630) 208-9325(630) 208-9326 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Kenneth P Sullivan Md NPPES

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

KENNETH P SULLIVAN MD (NPI 1619929478) is an individual neuroradiology provider in Geneva, Illinois and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619929478
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameKENNETH P SULLIVANCredential: MD
Location Address1416C SOUTH RANDALL ROAD, RANDALL SQUARE SHOPPING CENTERGeneva, IL 60134-4682
Mailing Address1121 Lake Cook Road, Suite MDeerfield, IL 60015-5234 · (847) 945-4550 · Fax (847) 948-8103
Phone(630) 208-9325
Fax(630) 208-9326
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1619929478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
1416C SOUTH RANDALL ROAD, Geneva, IL 60134
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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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVENA IMAGING SERVICES INC
Radiology (Diagnostic Radiology)
1416C SOUTH RANDALL ROAD
GENEVA, IL 60134
Kane County (630) 208-9325
RANDALLWOOD RADIOLOGY ASSOCIATES, S. C.
Radiology (Diagnostic Radiology)
1416C SOUTH RANDALL ROAD, RANDALL SQUARE SHOPPING CENTER
GENEVA, IL 60134
Kane County (630) 208-9325

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 Kenneth Sullivan's NPI number?

The NPI number for Kenneth Sullivan is 1619929478. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Kenneth Sullivan located?

Kenneth Sullivan practices at 1416C South Randall Road Randall Square Shopping Center, Geneva, IL 60134. The listed phone number is (630) 208-9325.

What is Kenneth Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.