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DR. JOHN S SULLIVAN MD
NPI 1689600686
Pediatrics - Pediatric Critical Care Medicine in Danville, PA

Active since June 23, 2006PECOS Enrolled
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 214-8790 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Jun 20, 2023, Apr 13, 2021 and 1 more (4 updates tracked since 2020).

About Dr. John S Sullivan Md NPPES

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

DR. JOHN S SULLIVAN MD (NPI 1689600686) is an individual pediatric critical care medicine provider in Danville, Pennsylvania, licensed in North Carolina (9500457) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689600686
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JOHN S SULLIVANCredential: MD
Location Address100 N ACADEMY AVEDanville, PA 17822-1231
Mailing Address100 N Academy Ave # 4903Danville, PA 17822-9800 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 214-8790
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1689600686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in NC · 9500457✔ Licensed in NY · 167425✔ Licensed in PA · MD041640E
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
100 N ACADEMY AVE, Danville, PA 17822
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Secondary Practice Locations 2

Location 13000 New Bern AveRaleigh, NC 27610-1231 · Phone (919) 350-8000
Location 23024 New Bern AveRaleigh, NC 27610-1247 · Phone (919) 350-7846 · Fax (919) 350-8147

Other Identifiers 1

Medicaid01463854NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John S 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.

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 John Sullivan's NPI number?

The NPI number for John Sullivan is 1689600686. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is John Sullivan located?

John Sullivan practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 214-8790.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is John Sullivan enrolled in Medicare?

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

What insurance does John Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.