DR. JULIE SULLIVAN DO
NPI 1952963043
Internal Medicine - Gastroenterology in Wynnewood, PA

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
100 EAST LANCASTER AVENUE, MOB EAST STE 361, WYNNEWOOD, PA 19096(484) 476-8390(610) 642-6808 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2025, Feb 8, 2024, Apr 26, 2022 (3 updates tracked since 2022).

About Dr. Julie Sullivan Do NPPES

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

DR. JULIE SULLIVAN DO (NPI 1952963043) is an individual gastroenterology provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (OS025070) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1952963043
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JULIE SULLIVANCredential: DO
Location Address100 EAST LANCASTER AVENUE, MOB EAST STE 361Wynnewood, PA 19096-3433
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632
Fax(610) 642-6808
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1952963043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · OS025070
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT019595 (PA)
100 EAST LANCASTER AVENUE, Wynnewood, PA 19096

Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-8210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Julie Sullivan Do 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 ID2860880168
PECOS Enrollment IDI20250728002045
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
100 EAST LANCASTER AVENUE, 664 LANKENAU MEDICAL BUILDING EAST
WYNNEWOOD, PA 19096
Internal Medicine (Cardiovascular Disease)
100 EAST LANCASTER AVENUE, JD LANKENAU PAVILION, MEZZANINE
WYNNEWOOD, PA 19096
Genetic Counselor, MS
100 EAST LANCASTER AVENUE, MEDICAL SCIENCE BUILDING, CANCER CENTER
WYNNEWOOD, PA 19096
Psychiatry & Neurology (Psychiatry)
100 EAST LANCASTER AVENUE, MEDICAL OFFICE BUILDING
WYNNEWOOD, PA 19096
Specialist
100 EAST LANCASTER AVENUE, SUITE 356
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 EAST LANCASTER AVENUE
WYNNEWOOD, PA 19096
Physician Assistant
100 EAST LANCASTER AVENUE, SUITE 256, MOB EAST
WYNNEWOOD, PA 19096

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952963043, enumerated as an "individual" on June 28, 2019.

The provider is located at 100 EAST LANCASTER AVENUE MOB EAST STE 361 WYNNEWOOD, PA 19096 and the phone number is (484) 476-8390.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

Julie Sullivan is affiliated with: BRYN MAWR HOSPITAL, PAOLI HOSPITAL, MAIN LINE HOSPITAL LANKENAU and RIDDLE MEMORIAL HOSPITAL.