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MR. THOMAS BRIAN SULLIVAN PAC
NPI 1841212032
Physician Assistant - Medical in Huntingdon, PA

Active since July 24, 2006PECOS Enrolled
790 BRYAN ST, HUNTINGDON, PA 16652(814) 643-8299(814) 643-8300 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Aug 31, 2022, Oct 23, 2019 (3 updates tracked since 2019).

About Mr. Thomas Brian Sullivan Pac NPPES

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

MR. THOMAS BRIAN SULLIVAN PAC (NPI 1841212032) is an individual medical provider in Huntingdon, Pennsylvania, licensed in Pennsylvania (0A002066) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841212032
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. THOMAS BRIAN SULLIVANCredential: PAC
Location Address790 BRYAN STHuntingdon, PA 16652-2410
Mailing Address4133 Medical Center DrBroad Top, PA 16621-9001 · (814) 635-2916 · Fax (814) 635-2918
Phone(814) 643-8299
Fax(814) 643-8300
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJune 6, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1841212032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · 0A002066
790 BRYAN ST, Huntingdon, PA 16652
Open in Google Maps ↗

Other Identifiers 2

Other376731WFPMedicare
Medicaid103205926PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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)

Mr. Thomas Brian Sullivan Pac 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims15 services$4.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$111.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROAD TOP AREA MEDICAL CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
790 BRYAN ST, SUITE 2
HUNTINGDON, PA 16652
Huntingdon County (814) 643-8300
MAHESH BOTEJUE
Internal Medicine
790 BRYAN ST
HUNTINGDON, PA 16652
Huntingdon County (814) 643-8300
TRACY A LILLIE M.D.
Family Medicine
790 BRYAN ST
HUNTINGDON, PA 16652
Huntingdon County (814) 643-8299
DR. ROBERT C. LAMEY M.D.
Internal Medicine
790 BRYAN ST
HUNTINGDON, PA 16652
Huntingdon County (814) 643-8299

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 Thomas Sullivan's NPI number?

The NPI number for Thomas Sullivan is 1841212032. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Thomas Sullivan located?

Thomas Sullivan practices at 790 Bryan St, Huntingdon, PA 16652. The listed phone number is (814) 643-8299.

What is Thomas Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thomas Sullivan enrolled in Medicare?

Yes. Thomas Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Sullivan was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.