LAURA ANN SULLIVAN MD
NPI 1801391313
Pediatrics in Dearborn, MI

Q: What is Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1801391313. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Laura Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Sullivan was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 27, 2018PECOS Enrolled

5500 AUTO CLUB DR, DEARBORN, MI 48126(313) 425-4705 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Mar 12, 2025, Oct 12, 2023 and 3 more (6 updates tracked since 2018).

On this page

About Laura Ann Sullivan Md NPPES

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

LAURA ANN SULLIVAN MD (NPI 1801391313) is an individual pediatrics provider in Dearborn, Michigan, licensed in Michigan (4301513782) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801391313

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLAURA ANN SULLIVANCredential: MD

Location Address5500 AUTO CLUB DRDearborn, MI 48126-2779

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 876-4806

Phone(313) 425-4705

Sole ProprietorNo

Enumeration DateMarch 27, 2018

Last NPPES UpdateMay 13, 20256 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1801391313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MI · 4301513782✔ Licensed in OH · 35.143333

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5500 AUTO CLUB DR, Dearborn, MI 48126

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Secondary Practice Locations 2

Location 1171 Deeds Park DrDayton, OH 45404-2699 · Phone (937) 800-1235 · Fax (937) 800-1237

Location 21106 Acorn DrOakwood, OH 45419-3509 · Phone (614) 370-6634

Other Identifiers 1

Medicaid0292514OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Ann 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

DR. HUSSEIN MOUZAIHEM OD

Optometrist