CASSIDY BENNETT SULLIVAN M.D.
NPI 1821483900
Obstetrics & Gynecology in Long Beach, CA
About Cassidy Bennett Sullivan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSIDY BENNETT SULLIVAN M.D. (NPI 1821483900) is an individual obstetrics & gynecology provider in Long Beach, California, licensed in California (A163333) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Cassidy Bennett Sullivan M.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BEACH, CA 90807
LONG BEACH, CA 90807
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 Cassidy Sullivan's NPI number?
The NPI number for Cassidy Sullivan is 1821483900. It was assigned to this individual provider in the NPPES registry on April 5, 2015.
Where is Cassidy Sullivan located?
Cassidy Sullivan practices at 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807. The listed phone number is (562) 424-8422.
What is Cassidy Sullivan's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Cassidy Sullivan enrolled in Medicare?
Yes. Cassidy 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 Cassidy Sullivan was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Cassidy Bennett Sullivan, M.D. · NPI 1821483900
Obstetrics & Gynecology physician in Long Beach, California. Individual provider, active in the CMS NPPES registry since April 5, 2015.
## Identity
- **NPI:** 1821483900 (Entity type: Individual)
- **Enumerated:** April 5, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A163333 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3711 LONG BEACH BLVD STE 700, Long Beach, CA 90807-3353
- **Phone:** (562) 424-8422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1821483900) · Data from the CMS NPPES public registry.