ANDREW WALTER SULLIVAN CAA
NPI 1629824537
Anesthesiologist Assistant in Greenwood Village, CO

Q: What is Andrew Sullivan's NPI number?

The NPI number for Andrew Sullivan is 1629824537. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Q: What is Andrew Sullivan's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Sullivan was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 April 30, 2024Accepts Medicare Assignment

8000 E MAPLEWOOD AVE STE 120, GREENWOOD VILLAGE, CO 80111(303) 438-3999(720) 439-9500 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2024, Jun 12, 2024, Apr 30, 2024 (3 updates tracked since 2024).

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About Andrew Walter Sullivan Caa NPPES

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

ANDREW WALTER SULLIVAN CAA (NPI 1629824537) is an individual anesthesiologist assistant in Greenwood Village, Colorado, licensed in Colorado (ANT.0000267) and active in the NPI registry since April 2024. He is a graduate of Northeastern Ohio University College Of Medicine (2024).

NPPES Registry Identity

NPI1629824537

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameANDREW WALTER SULLIVANCredential: CAA

Location Address8000 E MAPLEWOOD AVE STE 120Greenwood Village, CO 80111-4766

Mailing AddressPo Box 840862Dallas, TX 75284-0862 · (303) 377-7638 · Fax (303) 780-0787

Phone(303) 438-3999

Fax(720) 439-9500

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2024

Enumeration DateApril 30, 2024

Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1629824537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in CO · ANT.0000267

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

8000 E MAPLEWOOD AVE STE 120, Greenwood Village, CO 80111

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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

Andrew Walter Sullivan Caa 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 ID7315486552

PECOS Enrollment IDI20241118004299

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

18 services18 patients

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.

JENNIFER K KROGH CRNA

Nurse Anesthetist, Certified Registered