NPIMap

Individual provider Active NPI

Daniel F Sullivan, DO

  • Orthopaedic Surgery Physician
  • North Charleston, SC
National Provider Identifier
1154983740
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
76201 Issued in MN
Practice address
9100 Medcom St
North Charleston, SC 29406-9167
Phone
(843) 572-2663
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5151014127 MI
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 94680 SC
Orthopaedic Surgery Physician 207X00000X 76201 MN Primary

Addresses

Primary practice location

9100 Medcom St
North Charleston, SC 29406-9167

Mailing address

9100 Medcom St
North Charleston, SC 29406-9167

Other practice location 1

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-4486

Other practice location 2

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240529003082 MN Practitioner - Orthopedic Surgery 6305172362 Reassigns benefits to 3 organizations
I20251113004083 SC Practitioner - Orthopedic Surgery 6305172362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Sports Medicine and Orthopaedic CenterGroup PAC ID 8527972637, 43 clinicians

Practice addresses (Care Compare)

9100 Medcom St
N Charleston, SC 29406-9167
Phone (843) 572-2663

Hospital & facility affiliations

  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151014127MIMDOrthopaedic Surgery Physician
76201MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Group Health, Inc. CurrentSince Jul 1, 2024 Accepting new patients
South Carolina Sports Medicine & Orthopaedic Center Orthopaedic Surgery CurrentSince Sep 2, 2025 Accepting new patients
Allina Health System CurrentSince Jul 10, 2024 Accepting new patients
Group Health, Inc. Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jul 10, 2024 Accepting new patients
Tria Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

8100 W 78th St
Ste 230
Minneapolis, MN 55439
Phone (888) 892-7575

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

155 Radio Dr
Woodbury, MN 55125
Phone (952) 883-6212

2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585

9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daniel.sullivan.1@1516.direct.athenahealth.com
  • Direct secure messaging: dsullivan667815@excellian.direct.allina.com

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1154983740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 MEDCOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 MEDCOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069167",
            "telephone_number": "843-572-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 Inkster Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481354001",
            "country_code": "US",
            "telephone_number": "734-458-4486",
            "fax_number": "734-458-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-2005",
            "fax_number": "651-254-1519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5151014127",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "SC",
            "license": "94680",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "76201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.