NPIMap

Individual provider Active NPI

William F Sullivan, MD

  • Rheumatology Physician
  • Fairhope, AL
National Provider Identifier
1144311663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
00012259 Issued in AL
Practice address
3 Medical Park Drive
Fairhope, AL 36532
Phone
(251) 928-8804
Fax
(251) 990-9379
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 00012259 AL Primary

Addresses

Primary practice location

3 Medical Park Drive
Fairhope, AL 36532

Mailing address

3 Medical Park Drive
Fairhope, AL 36532
Phone (251) 928-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000282 AL Practitioner - Rheumatology 4082514914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of South Alabama College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Cir
Suite 201a
Mobile, AL 36607-3514
Phone (251) 435-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.07 of 100Reported as group
Quality
63.22
Improvement activities
40
Cost
65.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12259ALMDPharmacist
00012259ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Medical Specialists, LLC Current Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jun 1, 2025 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

3 Medical Park
Bldg 3
Fairhope, AL 36532

3 Medical Park Dr
Fairhope, AL 36532
Phone (251) 928-8804

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

3 Mobile Infirmary Cir
Ste 201A
Mobile, AL 36607
Phone (251) 435-6850

Interoperability endpoints

  • Direct secure messaging: wsullivan3903@directinfirmaryhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144311663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "00012259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.