DR. SANDRA E SULLIVAN MD
NPI 1770524829
Pediatrics - Neonatal-Perinatal Medicine in Gainesville, FL

Q: What is Sandra Sullivan's NPI number?

The NPI number for Sandra Sullivan is 1770524829. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Sandra Elisa Sullivan.

Q: What is Sandra Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Sullivan was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 09, 2006PECOS Enrolled

1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 392-4195(352) 392-4533 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Sandra E Sullivan Md NPPES

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

DR. SANDRA E SULLIVAN MD (NPI 1770524829) is an individual neonatal-perinatal medicine provider in Gainesville, Florida, licensed in Florida (ME76482) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770524829

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. SANDRA E SULLIVANCredential: MD

Location Address1600 SW ARCHER RDGainesville, FL 32610-3003

Mailing AddressPo Box 918025Orlando, FL 32891-8025

Phone(352) 392-4195

Fax(352) 392-4533

Sole ProprietorNo

Enumeration DateJune 9, 2006

Last NPPES UpdateFebruary 21, 2008

✔ NPI 1770524829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in FL · ME76482

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1600 SW ARCHER RD, Gainesville, FL 32610

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Other Names 1

Other Name (5)Sandra Elisa Sullivan

Other Identifiers 2

Medicare PIN62738ZFL

Medicare UPINH92237

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandra E 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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc

Same address

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

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 Sandra Sullivan's NPI number?

The NPI number for Sandra Sullivan is 1770524829. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Sandra Elisa Sullivan.

Where is Sandra Sullivan located?

Sandra Sullivan practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 392-4195.

What is Sandra Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Sandra Sullivan enrolled in Medicare?

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

Which organization bills Medicare for Sandra Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Sullivan reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Sullivan accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Sandra Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Sullivan was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.