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KATHERINE P SULLIVAN MD
NPI 1992966220
Pediatrics - Neonatal-Perinatal Medicine in Worcester, MA

Active since June 19, 2008PECOS Enrolled
91.25/100
CMS Quality Rating
119 BELMONT ST, WORCESTER, MA 01605(508) 334-6206(508) 334-6083 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2020, Aug 14, 2017, Mar 31, 2017 (3 updates tracked since 2017).

About Katherine P Sullivan Md NPPES

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

KATHERINE P SULLIVAN MD (NPI 1992966220) is an individual neonatal-perinatal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (269888) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992966220
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameKATHERINE P SULLIVANCredential: MD
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-6206
Fax(508) 334-6083
Sole ProprietorNo
Enumeration DateJune 19, 2008
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1992966220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MA · 269888
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 269888 (MA)
119 BELMONT ST, Worcester, MA 01605
Open in Google Maps ↗

Other Identifiers 2

OtherS400384003MA · Medicare
Medicaid110122125AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine P Sullivan Md 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.

Medicare Billing Reassignment

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

North Shore-Lij Medical PC
143 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D
Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5571
JASON D YANG
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5224
SANDRA BELLINI N.P.
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-6470
BENJAMIN D. HAMAR MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-0550
WALTER J ZAWACKI NP
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8934
CARYN SULLIVAN LCSW
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
WAYNE WAYFU CHAN M.D.
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-9750
NICHOLAS PAICOS PA STUDENT
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8515

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 Katherine Sullivan's NPI number?

The NPI number for Katherine Sullivan is 1992966220. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Katherine Sullivan located?

Katherine Sullivan practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-6206.

What is Katherine Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Katherine Sullivan enrolled in Medicare?

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

Which organization bills Medicare for Katherine Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Sullivan reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, 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 Katherine 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 Katherine Sullivan was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.