Robert Sherwood Sullivan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD27033 Issued in TN

Practice address

198 Morning Point Dr
Lenoir City, TN 37772-6448

Phone

(865) 675-5490

Fax

(865) 338-5899

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Internal Medicine

Education

Saint Louis University School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Susan Johnston Apn, LLC

  • Adult Health Nurse Practitioner
  • Lenoir City, TN
  • NPI 1366805525
  NPD
• Hillcrest Healthcare Communities, Inc

  • Assisted Living Facility
  • Knoxville, TN
  • NPI 1912205899
  NPD (past)
• Psychiatric Concepts, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
  • NPI 1942286521
  NPD (past)
• Spectrum Health Associates LLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1265674550
  NPD (past)
• University Health System, Inc

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1811096712
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1164460945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377480455",
            "telephone_number": "865-988-8552",
            "fax_number": "865-988-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MORNING POINT DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726448",
            "telephone_number": "865-675-5490",
            "fax_number": "865-338-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROBERT",
        "middle_name": "SHERWOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD27033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094819",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4066102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Alexis Steely, CNP
• Gregory Todd Stevens
• Ann Stewart, OTR
• Troy W. Stovall, D.O.
• Shannon Sullivan-Evans, FNP-BC
• Bethany Summerall
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group,PLLC
• Emese Mary Suranyi, M.D.

• Internal Medicine Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.