MACK LEE SULLIVAN M.D.
NPI 1881616068
Physical Medicine & Rehabilitation in Eastchester, NY
About Mack Lee Sullivan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACK LEE SULLIVAN M.D. (NPI 1881616068) is an individual physical medicine & rehabilitation provider in Eastchester, New York, licensed in New York (203477) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1995).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mack Lee 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.
Medicare Billing Reassignment
Medicare enrollment records show Mack Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eastchester, NY 10709
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 31
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EASTCHESTER, NY 10709
EASTCHESTER, NY 10709
EASTCHESTER, NY 10709
EASTCHESTER, NY 10709
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 Mack Sullivan's NPI number?
The NPI number for Mack Sullivan is 1881616068. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Mack Sullivan located?
Mack Sullivan practices at 369 White Plains Rd, Eastchester, NY 10709. The listed phone number is (914) 395-3691.
What is Mack Sullivan's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Mack Sullivan enrolled in Medicare?
Yes. Mack 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.
Which organization bills Medicare for Mack Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mack Sullivan reassigns Medicare benefits to Fitness & Recovery Medical Practice, PC (Eastchester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mack Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mack Sullivan was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.