TARA MARIE SULLIVAN MD
NPI 1902853104
Anesthesiology in Stanford, CA
About Tara Marie Sullivan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA MARIE SULLIVAN MD (NPI 1902853104) is an individual anesthesiology provider in Stanford, California, licensed in California (A81855) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Carmichael, and is a graduate of Creighton University School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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
Tara Marie 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tara Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Santa Cruz, CA 95065
- Reassigned Medicare billing, California enrollment
- 45 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 2
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.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Tara Sullivan's NPI number?
The NPI number for Tara Sullivan is 1902853104. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Tara Sullivan located?
Tara Sullivan practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Tara Sullivan's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Tara Sullivan enrolled in Medicare?
Yes. Tara 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 organizations bill Medicare for Tara Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Sullivan reassigns Medicare benefits to 3 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Anesthesia Medical Group Of Santa Cruz, Inc. (Santa Cruz, CA). Each 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 Tara 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 Tara Sullivan was last updated on April 12, 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.
# Tara Marie Sullivan, MD · NPI 1902853104
Anesthesiology physician in Stanford, California. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1902853104 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A81855 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Anesthesia Medical Group Of Santa Cruz, Inc. (NPI 1871541144, Santa Cruz, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** April 12, 2024
- **Other identifiers:** Other 00A818550 (CA); Medicaid 00A818550 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902853104) · Data from the CMS NPPES public registry.