DR. JOHN S SULLIVAN MD
NPI 1689600686
Pediatrics - Pediatric Critical Care Medicine in Danville, PA
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John S Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Danville, PA 17822
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Raleigh, NC 27614
- Reassigned Medicare billing, North Carolina enrollment
- 997 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.
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.
DANVILLE, PA 17822
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.
Which organizations bill Medicare for John Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Sullivan reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Danville, PA) and Wakemed Specialists Group, LLC (Raleigh, NC). Each 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 John Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Sullivan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Cigna Healthcare 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 19 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.
# Dr. John S Sullivan, MD · NPI 1689600686
Pediatric Critical Care Medicine physician in Danville, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1689600686 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 9500457 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 N ACADEMY AVE, Danville, PA 17822-1231
- **Phone:** (570) 214-8790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1255382784, Danville, PA); Wakemed Specialists Group, LLC (NPI 1013571405, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2025
- **Other identifiers:** Medicaid 01463854 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1689600686) · Data from the CMS NPPES public registry.