SULLIVAN MCINTOSH SMITH MD
NPI 1851852560
Otolaryngology - Plastic Surgery within the Head & Neck in Burlington, MA

Q: What is Sullivan Smith's NPI number?

The NPI number for Sullivan Smith is 1851852560. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Sullivan Smith's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Sullivan Smith was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 26, 2019PECOS EnrolledAccepts Medicare Assignment

41 MALL RD, BURLINGTON, MA 01805(781) 744-8000 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2025, Jun 3, 2019 (2 updates tracked since 2019).

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About Sullivan Mcintosh Smith Md NPPES

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

SULLIVAN MCINTOSH SMITH MD (NPI 1851852560) is an individual plastic surgery within the head & neck provider in Burlington, Massachusetts, licensed in Massachusetts (1021889) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1851852560

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameSULLIVAN MCINTOSH SMITHCredential: MD

Location Address41 MALL RDBurlington, MA 01805-3328

Mailing AddressPo Box 24520New York, NY 10087-3720 · (781) 744-8085

Phone(781) 744-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 26, 2019

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1851852560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in MA · 1021889

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 125.074394 (IL)

41 MALL RD, Burlington, MA 01805

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Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (781) 635-5061

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

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

Sullivan Mcintosh Smith 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 ID941539233

PECOS Enrollment IDI20250627000357

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 3

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

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.

SAHOOR KHAN

Internal Medicine (Interventional Cardiology)