1. Home
  2. Directory
  3. Texas
  4. Coppell
  5. Physician Assistant
  6. NPI Profile

MICHAEL D SULLIVAN PA
NPI 1689707515
Physician Assistant in Coppell, TX

Active since March 13, 2007Opted out of Medicare · through Oct 15, 2026
705 MAIN ST, COPPELL, TX 75019(972) 304-6400 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael D Sullivan Pa NPPES

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

MICHAEL D SULLIVAN PA (NPI 1689707515) is an individual physician assistant in Coppell, Texas, licensed in Texas (PA00024) and active in the NPI registry since March 2007. He has opted out of Medicare through October 15, 2026.

NPPES Registry Identity

NPI1689707515
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL D SULLIVANCredential: PA
Location Address705 MAIN STCoppell, TX 75019-4742
Mailing Address705 Main StCoppell, TX 75019-4742 · (972) 304-6400
Phone(972) 304-6400
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1689707515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00024
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
705 MAIN ST, Coppell, TX 75019
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael D Sullivan Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2024 through October 15, 2026.

Opt-Out Effective DateOctober 15, 2024
Opt-Out In Effect ThroughOctober 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFESTREAM HEALTH CENTER PA
Specialist
705 MAIN ST
COPPELL, TX 75019
Dallas County (972) 304-6400
HARRIS 4 HEALTH, PLLC
Nurse Practitioner (Family)
705 MAIN ST
COPPELL, TX 75019
Dallas County (972) 304-6400
DR. SHAROLYN K. DIHIGO DNP, RN, CPNP, FNP-C
Nurse Practitioner (Family)
705 MAIN ST
COPPELL, TX 75019
Dallas County (972) 304-6400
JANA ELISABETH ROGERS FNP-C
Nurse Practitioner (Family)
705 MAIN ST
COPPELL, TX 75019
Dallas County (972) 440-2359

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1689707515. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Michael Sullivan located?

Michael Sullivan practices at 705 Main St, Coppell, TX 75019. The listed phone number is (972) 304-6400.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Sullivan enrolled in Medicare?

No. Michael Sullivan has opted out of Medicare through October 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Sullivan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Michael 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 Michael Sullivan was last updated on October 14, 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.