Individual provider Active NPI

Devin Marie Sullivan, DO

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1093334344
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C2-0024521 Issued in DE
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

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705002657 DE Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0446672208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric 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
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (302) 623-0200

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0024521DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2024 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.

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": "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

Verify at the official NPI Registry.