MEGAN ALISE SULLIVAN
NPI 1790272466
Oral & Maxillofacial Surgery in New Hyde Park, NY
About Megan Alise Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEGAN ALISE SULLIVAN (NPI 1790272466) is an individual oral & maxillofacial surgery provider in New Hyde Park, New York, licensed in New York (331335) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Megan Alise Sullivan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Megan Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Manhasset, NY 11030
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Black Hall Dental PC
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYLong Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
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 Megan Sullivan's NPI number?
The NPI number for Megan Sullivan is 1790272466. It was assigned to this individual provider in the NPPES registry on April 18, 2018.
Where is Megan Sullivan located?
Megan Sullivan practices at 270-05 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7110.
What is Megan Sullivan's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Megan Sullivan enrolled in Medicare?
Yes. Megan 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.
Which organizations bill Medicare for Megan Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Megan Sullivan reassigns Medicare benefits to 2 organizations: White Hall Dental, PC (New Hyde Park, NY) and Black Hall Dental, P.C. (Manhasset, NY). Each 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 Megan Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Megan Sullivan accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Megan 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.
Is Megan Sullivan affiliated with any hospitals?
According to CMS data, Megan Sullivan is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Megan Sullivan was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Megan Alise Sullivan · NPI 1790272466
Oral & Maxillofacial Surgery physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since April 18, 2018.
## Identity
- **NPI:** 1790272466 (Entity type: Individual)
- **Enumerated:** April 18, 2018
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 331335 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 270-05 76TH AVE, New Hyde Park, NY 11040
- **Phone:** (718) 470-7110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): White Hall Dental, PC (NPI 1376268821, New Hyde Park, NY); Black Hall Dental, P.C. (NPI 1356091516, Manhasset, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2021
## Record status
- **NPPES last updated:** February 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790272466) · Data from the CMS NPPES public registry.