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SUPRIYA SULLIVAN
NPI 1942868658
Surgery in Springfield, IL

Active since May 29, 2019PECOS Enrolled
701 N 1ST ST STE D308, SPRINGFIELD, IL 62702(217) 545-4401(217) 545-1793 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2022, May 29, 2019 (2 updates tracked since 2019).

About Supriya Sullivan NPPES

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

SUPRIYA SULLIVAN (NPI 1942868658) is an individual surgery provider in Springfield, Illinois, licensed in Illinois (125074249) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942868658
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSUPRIYA SULLIVAN
Location Address701 N 1ST ST STE D308Springfield, IL 62702-3757
Mailing AddressPo Box 19638Springfield, IL 62794-9638
Phone(217) 545-4401
Fax(217) 545-1793
Sole ProprietorNo
Enumeration DateMay 29, 2019
Last NPPES UpdateMay 4, 20252 updates tracked since enumeration
NPPES CertifiedMay 4, 2025
✔ NPI 1942868658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 125074249✔ Licensed in IA · MD-64865
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
701 N 1ST ST STE D308, Springfield, IL 62702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supriya Sullivan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MELANIE LYNNE BARNARD MD
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
WENDY LIM
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
SYED OMAR ANWAR-HASHMI MD
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
ALEXANDRIA DAILEY MCDOW M.D.
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
MARY CATHERINE BRANDT MD
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
KENDALL GROSS
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
DR. MICHAEL IVERS M.D.
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
JANE ANN ELIZABETH CRABTREE-MARTY MD
Surgery
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401

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 Supriya Sullivan's NPI number?

The NPI number for Supriya Sullivan is 1942868658. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Supriya Sullivan located?

Supriya Sullivan practices at 701 N 1st St Ste D308, Springfield, IL 62702. The listed phone number is (217) 545-4401.

What is Supriya Sullivan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Supriya Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Supriya Sullivan was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.