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SAMUEL SULLIVAN M.D.
NPI 1750778122
Hospitalist in Richmond, VA

Active since April 22, 2015PECOS Enrolled
1201 BROAD ROCK BLVD, RICHMOND, VA 23249(804) 675-5000 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Sullivan M.d. NPPES

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

SAMUEL SULLIVAN M.D. (NPI 1750778122) is an individual hospitalist provider in Richmond, Virginia, licensed in Virginia (0101264844) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750778122
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSAMUEL SULLIVANCredential: M.D.
Location Address1201 BROAD ROCK BLVDRichmond, VA 23249
Mailing Address1201 Broad Rock Blvd, 4d HospitalistRichmond, VA 23249-0001 · (804) 510-0140
Phone(804) 675-5000
Sole ProprietorNo
Enumeration DateApril 22, 2015
Last NPPES UpdateFebruary 22, 2025
NPPES CertifiedFebruary 22, 2025
✔ NPI 1750778122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in VA · 0101264844
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101264844 (VA)
1201 BROAD ROCK BLVD, Richmond, VA 23249
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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)

Samuel 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 23249 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

MISS MYLADY TIRADO P.T.A
Physical Therapy Assistant
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-6588
DR. KATHERINE LEIVY PSYD
Psychologist (Clinical)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MR. MICHAEL N MARTIN FNP-BC
Nurse Practitioner (Primary Care)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
DR. PAUL WEISZ-CARRINGTON MD
Pathology (Anatomic Pathology & Clinical Pathology)
1201 BROAD ROCK BLVD, 113
RICHMOND, VA 23249
Richmond City (804) 794-9396
MRS. KIMBERLY JO POWELL OTR/L
Occupational Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MRS. PEGGY CHARLENE CARL
Pharmacist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MISS STEPHANIE JEANNE SHERMAN REGISTERED DIETITIAN
Dietitian, Registered
1201 BROAD ROCK BLVD, VA MEDICAL CENTER
RICHMOND, VA 23249
Richmond City (804) 675-5000
DR. LAUREL HACKETT PT
Physical Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000

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 Samuel Sullivan's NPI number?

The NPI number for Samuel Sullivan is 1750778122. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Samuel Sullivan located?

Samuel Sullivan practices at 1201 Broad Rock Blvd, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Samuel Sullivan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Samuel Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Sullivan was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.