DR. JAMES PATRICK SULLIVAN MD
NPI 1821610296
Student in an Organized Health Care Education/Training Program in Malden, MA

Active since May 08, 2020PECOS EnrolledAccepts Medicare Assignment
195 CANAL ST, MALDEN, MA 02148(781) 338-0500 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Patrick Sullivan Md NPPES

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

DR. JAMES PATRICK SULLIVAN MD (NPI 1821610296) is an individual student in an organized health care education/training program in Malden, Massachusetts and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of University Of South Carolina School Of Medicine, Greenville (2020).

NPPES Registry Identity

NPI1821610296
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAMES PATRICK SULLIVANCredential: MD
Location Address195 CANAL STMalden, MA 02148-6701
Mailing Address195 Canal StMalden, MA 02148-6701 · (781) 338-0500
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of Medicine, GreenvilleGraduated 2020
Enumeration DateMay 8, 2020
NPPES CertifiedMay 8, 2020
NPI 1821610296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
195 CANAL ST, Malden, MA 02148

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. James Patrick 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 ID9638533839
PECOS Enrollment IDI20241111001469
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

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.

Pharmacist
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Family Medicine
195 CANAL ST
MALDEN, MA 02148
Registered Nurse
195 CANAL ST, SUITE 100
MALDEN, MA 02148
Health Educator
195 CANAL ST
MALDEN, MA 02148
Counselor
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148

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 James Sullivan's NPI number?

The NPI number for James Sullivan is 1821610296. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is James Sullivan located?

James Sullivan practices at 195 Canal St, Malden, MA 02148. The listed phone number is (781) 338-0500.

What is James Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is James Sullivan enrolled in Medicare?

Yes. James 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.

Is James Sullivan affiliated with any hospitals?

According to CMS data, James Sullivan is affiliated with Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.