MEGAN SULLIVAN RD, LDN
NPI 1639953185
Dietitian, Registered in Palos Heights, IL
About Megan Sullivan Rd, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEGAN SULLIVAN RD, LDN (NPI 1639953185) is an individual dietitian, registered in Palos Heights, Illinois, licensed in Illinois (164.006570) and active in the NPI registry since August 2023. She is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Megan Sullivan Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Megan Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palos Hills, IL 60465
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Megan Sullivan's NPI number?
The NPI number for Megan Sullivan is 1639953185. It was assigned to this individual provider in the NPPES registry on August 23, 2023.
Where is Megan Sullivan located?
Megan Sullivan practices at 12356 S Natchez Ave, Palos Heights, IL 60463. The listed phone number is (708) 743-3069.
What is Megan Sullivan's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Megan Sullivan enrolled in Medicare?
Yes. Megan Sullivan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Megan Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Megan Sullivan reassigns Medicare benefits to Devine Nutrition Inc (Palos Hills, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Megan Sullivan was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Megan Sullivan, RD, LDN · NPI 1639953185
Dietitian, Registered provider in Palos Heights, Illinois. Individual provider, active in the CMS NPPES registry since August 23, 2023.
## Identity
- **NPI:** 1639953185 (Entity type: Individual)
- **Enumerated:** August 23, 2023
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 164.006570 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 12356 S NATCHEZ AVE, Palos Heights, IL 60463-1766
- **Phone:** (708) 743-3069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Devine Nutrition Inc (NPI 1982012241, Palos Hills, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2013
## Record status
- **NPPES last updated:** August 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639953185) · Data from the CMS NPPES public registry.