Maureen C Sullivan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0086048 Issued in MD

Practice address

12 Medstar Blvd
Bel Air, MD 21015-1798

Phone

(410) 807-8088

Fax

(410) 807-8170

NPI assigned

Apr 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Indiana Healthcare Physician Services IncGroup PAC ID 5294723359, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Indiana Healthcare Physician Services Inc

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1578523429

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Indiana Healthcare Physician Services, Inc

  • Radiation Oncology Physician
  • Indiana, PA
  • NPI 1417409186
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Indiana Regional Medical Center

  • Internal Medicine Physician
  • Blairsville, PA
  • NPI 1104055946

  Hospital

  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1356334510
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1508047630
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1659315372
  Care Compare affiliation

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1154765782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MEDSTAR BLVD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151798",
            "telephone_number": "410-807-8088",
            "fax_number": "410-807-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEDSTAR BLVD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151798",
            "telephone_number": "410-807-8088",
            "fax_number": "410-807-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0086048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Stump, LCPC
• Elizabeth Sturm
• Karen Marie Sugden, MED MSW
• David F Sulkowski, D.O.
• Daina Sullivan, LGPAT
• Brianna D Summers, LGPC
• Summit Ambulatory Surgical Center, LLC
• Summit Community Health, Inc
• Summit Community Health, Inc.
• Erik Sundquist

• Family Medicine Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.