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JOSEPH CHARLES SULLIVAN MD
NPI 1942903349
Internal Medicine in Syracuse, NY

Active since March 24, 2023PECOS EnrolledAccepts Medicare Assignment
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5240(315) 464-3751 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Mar 24, 2023 (2 updates tracked since 2023).

About Joseph Charles Sullivan Md NPPES

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

JOSEPH CHARLES SULLIVAN MD (NPI 1942903349) is an individual internal medicine provider in Syracuse, New York, licensed in New York (332177) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2023).

NPPES Registry Identity

NPI1942903349
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH CHARLES SULLIVANCredential: MD
Location Address750 E ADAMS STSyracuse, NY 13210-1834
Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-5240 · Fax (315) 464-3751
Phone(315) 464-5240
Fax(315) 464-3751
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2023
Enumeration DateMarch 24, 2023
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1942903349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 332177
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
750 E ADAMS ST, Syracuse, NY 13210
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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

Joseph Charles 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.

PECOS PAC ID5193283174
PECOS Enrollment IDI20260819005026
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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crouse Health Hospital Inc
0.2 mi
Hospitalist
736 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 189 clinicians in this Medicare group
NPI 1841340205 (315) 470-7111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Joseph Sullivan's NPI number?

The NPI number for Joseph Sullivan is 1942903349. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Joseph Sullivan located?

Joseph Sullivan practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5240.

What is Joseph Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Sullivan enrolled in Medicare?

Yes. Joseph 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 Joseph Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Sullivan reassigns Medicare benefits to Crouse Health Hospital Inc (Syracuse, 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 Joseph 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 Joseph Sullivan was last updated on August 9, 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.