JESSICA A SULLIVAN D.P.M.
NPI 1750736195
Podiatrist - Foot & Ankle Surgery in Addison, IL

Active since May 03, 2016PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1250 W LAKE ST, STE 16, ADDISON, IL 60101(630) 543-3000 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2022, Jun 2, 2021 (2 updates tracked since 2021).

About Jessica A Sullivan D.p.m. NPPES

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

JESSICA A SULLIVAN D.P.M. (NPI 1750736195) is an individual foot & ankle surgery provider in Addison, Illinois, licensed in Illinois (016005718) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and is a graduate of William M. Scholl College Of Podiatric Medicine (2013).

NPPES Registry Identity

NPI1750736195
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameJESSICA A SULLIVANCredential: D.P.M.
Location Address1250 W LAKE ST, STE 16Addison, IL 60101-5744
Mailing Address1250 W Lake St, Ste 16Addison, IL 60101-5744 · (630) 543-3000
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2013
Enumeration DateMay 3, 2016
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1750736195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 016005718
1250 W LAKE ST, Addison, IL 60101

Other Names 1

Former Name (1)Jessica A Sieradzki D.p.m.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica A Sullivan D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395039796
PECOS Enrollment IDI20160808002276
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 8

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.

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.
564 services175 patients
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.
174 services55 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
167 services65 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.
145 services47 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
54 services23 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.
40 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 9

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

Chiropractor
1250 W LAKE ST, SUITE 17
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, SUITE #17
ADDISON, IL 60101
Podiatrist
1250 W LAKE ST, SUITE 16
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, SUITE 17
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, SUITE 17
ADDISON, IL 60101
Podiatrist (Foot & Ankle Surgery)
1250 W LAKE ST
ADDISON, IL 60101
Podiatrist (Foot & Ankle Surgery)
1250 W LAKE ST, SUITE 16
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, 17
ADDISON, IL 60101

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 Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1750736195. It was assigned to this individual provider in the NPPES registry on May 3, 2016. The provider is also known as Jessica A Sieradzki D.P.M..

Where is Jessica Sullivan located?

Jessica Sullivan practices at 1250 W Lake St Ste 16, Addison, IL 60101. The listed phone number is (630) 543-3000.

What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jessica Sullivan enrolled in Medicare?

Yes. Jessica Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jessica Sullivan affiliated with any hospitals?

According to CMS data, Jessica Sullivan is affiliated with Alexian Brothers Medical Center 1.

When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.