Amanda Sullivan, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

DR.0063937 Issued in CO

Practice address

1001 Southpark Dr
Littleton, CO 80120-5641

Phone

(303) 722-8987

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Gastroenterology

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Gastroenterology Associates, PLLCGroup PAC ID 5991797532, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Rocky Mountain Gastroenterology Associates, PLLC

  • Gastroenterology Physician
  • Lakewood, CO
  • NPI 1669414272
  Medicare reassignment Care Compare group NPD

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

• Portercare Adventist Health System

  • Emergency Care Clinic/Center
  • Littleton, CO
  • NPI 1548800154

  Hospital

  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1689688988
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1720628332
  Care Compare affiliation

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1124557863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205641",
            "telephone_number": "303-722-8987",
            "fax_number": "303-722-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205641",
            "telephone_number": "303-722-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032781",
            "country_code": "US",
            "telephone_number": "719-584-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583018",
            "country_code": "US",
            "telephone_number": "910-739-7551",
            "fax_number": "910-739-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AMANDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-04-12",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0063937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Sturdy, M.D.
• Ashlynn Sturgis
• Chastity Suglia
• Matthew Adam Suitt
• Molly Sullan, PH.D.
• Ann-Michelle Sullivan
• Caroline Sullivan, LPC
• Christopher Sullivan, DPM
• Clare Sullivan, ARNP
• Philip J Sullivan, MD

• Gastroenterology Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Gastroenterology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.

Verify at the official NPI Registry.