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DR. KEVIN JEREMIAH SULLIVAN MD
NPI 1780619890
Family Medicine in Gig Harbor, WA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
4700 POINT FOSDICK DR NW, STE 202, GIG HARBOR, WA 98335(253) 858-9192(253) 857-1489 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kevin Jeremiah Sullivan Md NPPES

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

DR. KEVIN JEREMIAH SULLIVAN MD (NPI 1780619890) is an individual family medicine provider in Gig Harbor, Washington, licensed in Washington (MD00037591) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1780619890
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN JEREMIAH SULLIVANCredential: MD
Location Address4700 POINT FOSDICK DR NW, STE 202Gig Harbor, WA 98335-1706
Mailing Address4700 Point Fosdick Dr Nw, Ste 202Gig Harbor, WA 98335-1706 · (253) 858-9192 · Fax (253) 857-1489
Phone(253) 858-9192
Fax(253) 857-1489
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 11, 2006
Last NPPES UpdateNovember 16, 2010
✔ NPI 1780619890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00037591
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4700 POINT FOSDICK DR NW, Gig Harbor, WA 98335
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Other Identifiers 6

Medicare PINGAB10472WA
Other080144712WA · Railroad
Medicaid8243149WA
Other0131075WA · State L&i
Medicare UPING98982WA
Other8928703WA · State Crime Victims

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

Dr. Kevin Jeremiah Sullivan Md 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 ID9335276971
PECOS Enrollment IDI20100429001091
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 98335 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

JAMES LEWIS PATTERSON MD
Family Medicine
4700 POINT FOSDICK DR NW, #220
GIG HARBOR, WA 98335
Pierce County (253) 851-5121
FRANCISCAN MEDICAL GROUP
Internal Medicine (Cardiovascular Disease)
4700 POINT FOSDICK DR NW, STE 203-B
GIG HARBOR, WA 98335
Pierce County (253) 857-1130
WON SIK OH L. AC.
Acupuncturist
4700 POINT FOSDICK DR NW, SUITE # 206
GIG HARBOR, WA 98335
Pierce County (253) 858-5313
AKSEL G NORDESTGAARD M.D.
Legal Medicine
4700 POINT FOSDICK DR NW, SUITE 307
GIG HARBOR, WA 98335
Pierce County (253) 857-8346
JOHN DIMANT MD
Pediatrics
4700 POINT FOSDICK DR NW, #211
GIG HARBOR, WA 98335
Pierce County (253) 851-5665
MR. MITCHELL GUY BLAKNEY P.T.
Physical Therapist
4700 POINT FOSDICK DR NW, SUITE 213
GIG HARBOR, WA 98335
Pierce County (253) 851-5718
FRANCISCAN MEDICAL GROUP
Surgery
4700 POINT FOSDICK DR NW, STE 203
GIG HARBOR, WA 98335
Pierce County (253) 857-1120
FRANCISCAN MEDICAL GROUP
Internal Medicine
4700 POINT FOSDICK DR NW, #308
GIG HARBOR, WA 98335
Pierce County (253) 858-7019

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 Kevin Sullivan's NPI number?

The NPI number for Kevin Sullivan is 1780619890. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Kevin Sullivan located?

Kevin Sullivan practices at 4700 Point Fosdick Dr NW Ste 202, Gig Harbor, WA 98335. The listed phone number is (253) 858-9192.

What is Kevin Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Sullivan enrolled in Medicare?

Yes. Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Sullivan was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.