Individual provider Active NPI

Rachael C Sullivan, M.D.

  • Surgery Physician
  • Cleveland, OH
National Provider Identifier
1003137233
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
121871 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-1267
Phone
(440) 449-1101
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 121871 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-1267

Mailing address

26202 N Woodland Rd
Beachwood, OH 44122-1745
Phone (419) 351-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128003619 OH Practitioner - General SurgeryPractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 1052552445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Anesthesiology, Critical Care (Intensivists)
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8019

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333
  • Mercy Health - Defiance Hospital Hospital, Defiance, OH, CCN 360270
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121871OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Nov 13, 2017 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Surgery CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Partners Physician Group Surgery CurrentSince Nov 13, 2017 Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients

Locations

1 Akron General Ave
Ste 492
Akron, OH 44307
Phone (330) 344-4751

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2213 Cherry St
Ste 305
Toledo, OH 43608
Phone (419) 321-3512

2213 Cherry St
Ste ACC305
Toledo, OH 43608

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1003137233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26202 N WOODLAND RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221745",
            "telephone_number": "419-351-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951267",
            "telephone_number": "440-449-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RACHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "121871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.