PATRICK SULLIVAN MD
NPI 1659345015
Plastic Surgery in Providence, RI

Active since February 14, 2006PECOS Enrolled
235 PLAIN ST, PROVIDENCE, RI 02905(401) 831-8300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrick Sullivan Md NPPES

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

PATRICK SULLIVAN MD (NPI 1659345015) is an individual plastic surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD06895) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659345015
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NamePATRICK SULLIVANCredential: MD
Location Address235 PLAIN STProvidence, RI 02905-3240
Mailing Address235 Plain StProvidence, RI 02905-3243 · (401) 831-8300
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659345015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in RI · MD06895
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
235 PLAIN ST, Providence, RI 02905

Other Identifiers 1

Medicare UPINC90002

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

Plastic Surgery
235 PLAIN ST, SUITE 203
PROVIDENCE, RI 02905
Plastic Surgery
235 PLAIN ST, SUITE 502
PROVIDENCE, RI 02905
Psychiatry & Neurology (Psychiatry)
235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905
Psychologist (Clinical)
235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905
Neurological Surgery
235 PLAIN ST
PROVIDENCE, RI 02905
Surgery (Plastic and Reconstructive Surgery)
235 PLAIN ST, SUITE 304
PROVIDENCE, RI 02905
Advanced Practice Midwife
235 PLAIN ST, SUTIE 401
PROVIDENCE, RI 02905
Obstetrics & Gynecology
235 PLAIN ST
PROVIDENCE, RI 02905

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 Patrick Sullivan's NPI number?

The NPI number for Patrick Sullivan is 1659345015. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Patrick Sullivan located?

Patrick Sullivan practices at 235 Plain St, Providence, RI 02905. The listed phone number is (401) 831-8300.

What is Patrick Sullivan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Patrick Sullivan enrolled in Medicare?

Yes. Patrick Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Sullivan reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). 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 Patrick 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 Patrick Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.