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TIM SULLIVAN MD
NPI 1750481099
Pediatrics in Sonora, CA

Active since September 25, 2006PECOS Enrolled
12791 CABEZUT RD, SONORA, CA 95370(209) 532-5524(209) 532-1513 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tim Sullivan Md NPPES

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

TIM SULLIVAN MD (NPI 1750481099) is an individual pediatrics provider in Sonora, California, licensed in California (C55917) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750481099
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTIM SULLIVANCredential: MD
Location Address12791 CABEZUT RDSonora, CA 95370-5926
Mailing Address12791 Cabezut RdSonora, CA 95370-5926 · (209) 532-5524 · Fax (209) 532-1513
Phone(209) 532-5524
Fax(209) 532-1513
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 29, 2019
✔ NPI 1750481099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · C55917✔ Licensed in IA · 34411
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12791 CABEZUT RD, Sonora, CA 95370
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tim 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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 4

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

DR. WILLIAM H. BIRTWHISTLE M.D.
Pediatrics
12791 CABEZUT RD
SONORA, CA 95370
Tuolumne County (209) 532-5524
MATHEA S SALAS D.O.
Family Medicine
12791 CABEZUT RD
SONORA, CA 95370
Tuolumne County (209) 532-5524
FOOTHILL PEDIATRICS MEDICAL GROUP, INC.
Pediatrics
12791 CABEZUT RD
SONORA, CA 95370
Tuolumne County (209) 532-5524
DR. KELLEY WILLIAM GEORGE MD
Pediatrics
12791 CABEZUT RD
SONORA, CA 95370
Tuolumne County (209) 532-5524

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 Tim Sullivan's NPI number?

The NPI number for Tim Sullivan is 1750481099. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Tim Sullivan located?

Tim Sullivan practices at 12791 Cabezut Rd, Sonora, CA 95370. The listed phone number is (209) 532-5524.

What is Tim Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tim Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tim Sullivan was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.