JOHN PATRICK SULLIVAN M.D. NPI 1952368557

Radiology (Diagnostic Radiology) in Lexington, KY

About JOHN SULLIVAN

John Sullivan is a provider in Lexington, KY with more than 19 years of experience. The NPI number assigned to this provider is 1952368557. The practitioner's primary taxonomy code is Radiology (2085R0202X). The provider is registered as an individual and their NPI record was last updated 10 years ago. John Sullivan is registered with Medicare and accepts claims assignment.

NPI

1952368557

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JOHN PATRICK SULLIVAN M.D.
Provider Location Address1218 S BROADWAY SUITE 310 LEXINGTON, KY 40504 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1218 S BROADWAY SUITE 310 LEXINGTON, KY 40504 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-27-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-28-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code2085R0202X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.39464
License StateKY
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

JOHN PATRICK SULLIVAN M.D.
1218 S BROADWAY
SUITE 310
LEXINGTON, KY
ZIP 40504
Phone: (859) 219-0542
Fax: (859) 219-9433

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Mailing Address

JOHN PATRICK SULLIVAN M.D.
1218 S BROADWAY
SUITE 310
LEXINGTON, KY
ZIP 40504
Phone: (859) 219-0542
Fax: (859) 219-9433

Medicare Participation

Registered in PECOS? Yes Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1557306198
PECOS Enrollment IDI20140818001285
Accepts Medicare Assignment? Yes Additional informationCallout Tooltip"What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program/td> Yes Additional informationCallout Tooltip"Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2016. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 3572X-ray of chest, 1 view, front (HCPCS:71010)
  • 1031X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 456CT scan of abdomen and pelvis (HCPCS:74176)
  • 412CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 152X-ray of abdomen, single view (HCPCS:74000)
  • 119X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 94X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 90X-ray of knee, 4 or more views (HCPCS:73564)
  • 63Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 40X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 38Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 35X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 30Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 28X-ray of knee, 3 views (HCPCS:73562)
  • 21Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 18Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • 13Ultrasound of head and neck (HCPCS:76536)
  • 13X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • 11X-ray of foot, minimum of 3 views (HCPCS:73630)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
OWENSBORO HEALTH REGIONAL HOSPITAL180038
BAPTIST HEALTH MADISONVILLE180093
PARIS REGIONAL MEDICAL CENTER450196
DUNCAN REGIONAL HOSPITAL, INC370023
MONROE COUNTY MEDICAL CENTER180105

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0572018MEDICARE ID-TYPE UNSPECIFIED (04)
0682007MEDICARE ID-TYPE UNSPECIFIED (04)
0765716MEDICARE ID-TYPE UNSPECIFIED (04)
0674616MEDICARE ID-TYPE UNSPECIFIED (04)
0991710MEDICARE ID-TYPE UNSPECIFIED (04)
0581218MEDICARE ID-TYPE UNSPECIFIED (04)
0571818MEDICARE ID-TYPE UNSPECIFIED (04)
64098940MEDICAID (05)KY
I31228MEDICARE UPIN (02)
0723616MEDICARE ID-TYPE UNSPECIFIED (04)
0946412MEDICARE ID-TYPE UNSPECIFIED (04)
0950212MEDICARE ID-TYPE UNSPECIFIED (04)
0572118MEDICARE PIN (08)

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003872300 BARRY D HANEY M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1013285691 KATHRYN A SPENCER PA-C
Individual
Physician Assistant1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1033157888DR. MATTHEW D ZWICK M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1053353250 JAMES LUTHER BUCK MD
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1114460417 RYAN M LEUGERS PA-C
Individual
Physician Assistant1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1134186745 ALLEN DAVID WESTERFIELD IV M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1245475649DR. SHARDAN MARC RADMANESH M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1366488496DR. CARINA L BUTLER M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1457538167 LLOYD KEMPER WOLVERTON PA
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1508823493 GUY T ELLIS III M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1558548263 DOUGLAS F BRYAN PA-C
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1700841715DR. DALE R ABSHER M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1720045628 JOHN L CAUDILL M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1821275520 EMILY MOSSOTTI CLARK PA-C
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1831156553 CHRISTINE NOBLE RILEY M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1851357214 RHONDA G GRISSOM M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1851475784 JEFFREY A KOCH PA-C
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1912155037MRS. SAMANTHA JO SEXTON PA-C
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1952368805 JERRY E ANDERSON M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
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