Active NPI
Robert Terrence Sullivan, MD
- Orthopaedic Surgery Physician
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 52239
- Practice address
- 300 Callen Blvd Ste 330
Moncks Corner, SC 29461-8460 - Phone
- (843) 763-2857
- Fax
- (843) 606-8053
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 52239 | SC | Primary |
Addresses
Primary practice location
300 Callen Blvd Ste 330
Moncks Corner, SC 29461-8460
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC3045 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180626000794 | SC | Practitioner - Orthopedic Surgery | 4880726298 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical University of South Carolina College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 789-1850
Hospital & facility affiliations
- Interim Healthcare
- Roper-St. Francis Home Health
- Roper St Francis Hospital-Berkeley Inc
- Roper Hospital
- Bon Secours-St Francis Xavier Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52239 | SC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Orthopaedic Surgery | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper St. Francis Specialty Physicians | Orthopaedic Surgery | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Past | Accepting new patients |
Locations
319 Folly Rd
Charleston, SC 29412
Phone (843) 203-2246
1611 Savannah Hwy
Ste A
Charleston, SC 29407
Phone (843) 766-1632
255 E Bay St
Charleston, SC 29401
615 Wesley Dr
Ste 100
Charleston, SC 29407
Phone (843) 763-2857
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2270 Ashley Crossing Dr
Ste 110
Charleston, SC 29414
Phone (843) 769-2000
4278 Ladson Rd
Ladson, SC 29456
Phone (843) 203-2240
8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260
594 Lone Tree Dr
Bldg 6
Mt Pleasant, SC 29464
Phone (843) 606-8210
3510 N Highway 17
Ste 220
Mt Pleasant, SC 29466
Phone (843) 720-8317
8901 University Blvd
North Charleston, SC 29406
Phone (843) 203-2245
8950 University Blvd
Ste 200
North Charleston, SC 29406
Phone (843) 766-6494
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550
Interoperability endpoints
- rsullivan1236345@direct.bsmhealth.org
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.
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
Orthopaedic Surgery, SC
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Orthopaedic Surgery Physician
- N Charleston, SC
- NPI 1982157459
Orthopaedic Surgery
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
Hospital
-
- Nursing Care Agency
- North Charleston, SC
- NPI 1063422988
Home health agency
-
- Home Health Agency
- Ladson, SC
- NPI 1619947140
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1124198734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CALLEN BLVD STE 330",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618460",
"telephone_number": "843-763-2857",
"fax_number": "843-606-8053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ROBERT",
"middle_name": "TERRENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "52239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC3045",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.