LISA M SULLIVAN M.D.
NPI 1740248764
Radiology - Diagnostic Radiology in Lincoln, NE

Q: What is Lisa Sullivan's NPI number?

The NPI number for Lisa Sullivan is 1740248764. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Lisa Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Sullivan was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 01, 2006PECOS Enrolled

7601 PIONEERS BLVD, LINCOLN, NE 68506(402) 484-6677(402) 484-4476 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa M Sullivan M.d. NPPES

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

LISA M SULLIVAN M.D. (NPI 1740248764) is an individual diagnostic radiology provider in Lincoln, Nebraska, licensed in Nebraska (20787) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740248764

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameLISA M SULLIVANCredential: M.D.

Location Address7601 PIONEERS BLVDLincoln, NE 68506-4675

Mailing Address7601 Pioneers BlvdLincoln, NE 68506-4675 · (402) 484-6677 · Fax (402) 484-4476

Phone(402) 484-6677

Fax(402) 484-4476

Sole ProprietorNo

Enumeration DateMay 1, 2006

Last NPPES UpdateJanuary 20, 2017

✔ NPI 1740248764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NE · 20787

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

7601 PIONEERS BLVD, Lincoln, NE 68506

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Other Identifiers 5

OtherNA1330008NE · Smi Medicare Pin

Medicare PIN270809NE

Medicare UPINF90786

Other273355NE · Ami Medicare Pin

Medicaid47078180813NE

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Sullivan M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

DR. MINHTRIET H LUU M.D.

Radiology (Diagnostic Radiology)