Individual provider Active NPI

William Francis Sullivan, MD

  • General Practice Physician
  • Washington, DC
National Provider Identifier
1154147965
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0097553 Issued in MD
Practice address
37TH & O Streets North West Healy Hall Room 424
Washington, DC 20057-0001
Phone
(202) 784-2853
Fax
(202) 687-8089
NPI assigned
Nov 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD210003174 DC
General Practice Physician 208D00000X D0097553 MD Primary

Addresses

Primary practice location

37TH & O Streets North West Healy Hall Room 424
Washington, DC 20057-0001

Mailing address

1200 N Garfield St Apt 1204
Arlington, VA 22201-6830
Phone (703) 407-4193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20251029000740 DC Practitioner - Family Practice 6204325442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210003174DCMDGeneral Practice Physician
D0097553MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC General Practice CurrentSince Aug 17, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1154147965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N GARFIELD ST APT 1204",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016830",
            "telephone_number": "703-407-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37TH & O STREETS NORTH WEST HEALY HALL ROOM 424",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200570001",
            "telephone_number": "202-784-2853",
            "fax_number": "202-687-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD210003174",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0097553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.