Daniel Patrick Sullivan, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

036069322 Issued in IL

Practice address

133 E Brush Hill Rd
Suite 202
Elmhurst, IL 60126-5658

Phone

(630) 782-4050

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455

  IL

  Medicare reassignment NPD
• Edward Health Ventures

  • Multi-Specialty Clinic/Center
  • Bolingbrook, IL
  • NPI 1962452912

  IL

  Medicare reassignment NPD
• Elmhurst Memorial Healthcare

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
  • NPI 1457493454

  IL

  Medicare reassignment NPD
• Elmhurst Memorial Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343

  IL

  Medicare reassignment NPD
• Advocate Health and Hospitals Corporation

  • Cardiovascular Disease Physician
  • Downers Grove, IL
  • NPI 1285903849

  Interventional Cardiology

  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Edward Health Ventures

  • Multi-Specialty Clinic/Center
  • Naperville, IL
  • NPI 1831149889
  NPD
• Elmhurst Memorial Healthcare

  • Internal Medicine Physician
  • Elmhurst, IL
  • NPI 1497076392
  NPD
• Midwest Heart Specialists, LTD

  • Cardiovascular Disease Physician
  • Downers Grove, IL
  • NPI 1417908765

  Interventional Cardiology

  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1104872944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S MEYERS RD",
            "address_2": "SUITE 350",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601815243",
            "telephone_number": "630-873-7305",
            "fax_number": "630-416-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD",
            "address_2": "SUITE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "630-782-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036069322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060030018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Stucky-Marshall, APN-CNS
• Andy Wei-Hao Su, MD
• Gerard Albert Sublette Jr., M.D.
• Succeeding With ADHD LLC
• Andrew Sugar
• Michael E Sullivan, DDS
• Sunflower Path Counseling
• Superior Air Ambulance Service, Inc
• Superior Air-Ground Ambulance Service, Inc
• Superior Ambulance Aviation, Inc

• Interventional Cardiology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.