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DR. JAMES C SULLIVAN DPM
NPI 1740296086
Podiatrist in North Smithfield, RI

Active since July 31, 2006PECOS Enrolled
249 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896(401) 269-5611(401) 769-6238 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James C Sullivan Dpm NPPES

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

DR. JAMES C SULLIVAN DPM (NPI 1740296086) is an individual podiatrist in North Smithfield, Rhode Island, licensed in Rhode Island (DPM00262) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740296086
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. JAMES C SULLIVANCredential: DPM
Location Address249 EDDIE DOWLING HWYNorth Smithfield, RI 02896
Mailing Address249 Eddie Dowling HwyNorth Smithfield, RI 02896 · (401) 769-5611 · Fax (401) 769-6238
Phone(401) 269-5611
Fax(401) 769-6238
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateFebruary 13, 2013
✔ NPI 1740296086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in RI · DPM00262✔ Licensed in MD · 1944
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
249 EDDIE DOWLING HWY, North Smithfield, RI 02896
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Other Identifiers 2

Medicare UPINT91550
Medicare ID-Type Unspecified7057RI

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. James C Sullivan Dpm 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
163 services54 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
134 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
123 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
27 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02896 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 2

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

NORTH SMITHFIELD FOOT AND ANKLE, INC
Podiatrist (Foot & Ankle Surgery)
249 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI 02896
Providence County (401) 769-5611
JOSEPH K DOMENICO D.P.M.
Podiatrist (Foot & Ankle Surgery)
249 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI 02896
Providence County (401) 769-5611

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 James Sullivan's NPI number?

The NPI number for James Sullivan is 1740296086. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is James Sullivan located?

James Sullivan practices at 249 Eddie Dowling Hwy, North Smithfield, RI 02896. The listed phone number is (401) 269-5611.

What is James Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is James Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.