Active NPI
Devin Marie Sullivan, DO
- Internal Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C2-0024521
- Practice address
- 4735 Ogletown Stanton Rd Ste 1250
Newark, DE 19713-2076 - Phone
- (302) 623-0200
- Fax
- (302) 623-0117
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C2-0024521 | DE | |
| Internal Medicine Physician | 207R00000X | C2-0024521 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown Stanton Rd Ste 1250
Newark, DE 19713-2076
Mailing address
4735 Ogletown Stanton Rd Ste 1250
Newark, DE 19713-2076
Phone (302) 623-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (302) 623-0200
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0024521 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients |
Locations
726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770
4755 Ogletownstanton Rd
Newark, DE 19718
Phone (302) 733-6510
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4735 Ogletown Stanton Rd
Ste 1250
Newark, DE 19713
Phone (302) 623-0200
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Organizations & group practices 3
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Internal Medicine
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wilmington, DE
- NPI 1245277219
-
- Home Health Agency
- Newark, DE
- NPI 1366473969
-
- Home Health Agency
- New Castle, DE
- NPI 1447281043
-
- Home Health Agency
- Milford, DE
- NPI 1780810424
-
- Home Health Agency
- Wilmington, DE
- NPI 1821029422
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1093334344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD STE 1250",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132076",
"telephone_number": "302-623-0200",
"fax_number": "302-623-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD STE 1250",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132076",
"telephone_number": "302-623-0200",
"fax_number": "302-623-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "DEVIN",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C2-0024521",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C2-0024521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.