Edward Allen Sullivan III, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

21618 Issued in AL

Practice address

619 19TH St S
Birmingham, AL 35249

Phone

(205) 934-4011

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Alabama School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Birmingham, P.C.Group PAC ID 7214928571, 44 clinicians

Cooper Green Mercy Health Services Authority an Affiliate of UabGroup PAC ID 0840629473, 95 clinicians

Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent's Birmingham Hospital, Birmingham, AL, CCN 010056
• Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
• St Vincent's St Clair Hospital, Pell City, AL, CCN 010130
• Russell Medical Center Hospital, Alexander City, AL, CCN 010065
• St Vincents Blount Hospital, Oneonta, AL, CCN 011305

Merit-based Incentive Payment System (MIPS)

Final score

83.04 of 100Reported as group

Quality

68.83

Promoting interoperability

89

Improvement activities

40

Cost

83.82

Merit-based Incentive Payment System (MIPS)

Final score

96.22 of 100Reported as group

Quality

95.56

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic/Center
  • Birmingham, AL
  • NPI 1366073108
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Birmingham PC

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1093778706

  GA

  Medicare reassignment Care Compare group
• Pro Radiology, LLC

  • Radiology Clinic/Center
  • Atlanta, GA
  • NPI 1164966461
  Medicare reassignment Care Compare group
• St Vincents Ambulatory Healthcare Network LLC

  • Physiological Laboratory
  • Trussville, AL
  • NPI 1033646823
  Medicare reassignment NPD
• St. Vincent's P.E.T. Center, LLC

  dba UAB St. Vincent's Birmingham P.E.T. Center

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1457337073
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Urology Centers of Alabama PC

  • Urology Physician
  • Homewood, AL
  • NPI 1710962550

  Diagnostic Radiology

  Medicare reassignment NPD
• St Vincents Ambulatory Healthcare Network LLC

  • Physiological Laboratory
  • Birmingham, AL
  • NPI 1588190441
  Medicare reassignment
• American Health Imaging of Alabama LLC

  dba American Health Imaging of Shelby

  • Radiology Clinic/Center
  • Alabaster, AL
  • NPI 1164029948
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging 3T of Brookwood

  • Radiology Clinic/Center
  • Birmingham, AL
  • NPI 1427655869
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging of Greystone

  • Radiology Clinic/Center
  • Hoover, AL
  • NPI 1518564392
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging of Homewood

  • Radiology Clinic/Center
  • Homewood, AL
  • NPI 1538766316
  NPD

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

• BBH BMC, LLC

  dba Baptist Health Brookwood Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1003260480
  Care Compare affiliation
• Russell Hospital Corporation

  dba Russell Medical Center

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Care Compare affiliation
• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523
  Care Compare affiliation
• St. Vincent's Birmingham

  dba Ascension St. Vincent's Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation
• St. Vincent's St. Clair, LLC

  dba Ascension St. Vincent's St. Clair

  • General Acute Care Hospital
  • Pell City, AL
  • NPI 1992809305
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1275596926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Brookwood Medical Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096804",
            "country_code": "US",
            "telephone_number": "205-877-1990",
            "fax_number": "205-824-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "EDWARD",
        "middle_name": "ALLEN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "21618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51550443",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51518308",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550443",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Sullivan-Ingram, DO
• Janice Leah Sullivan-Stoll
• Andrea Renee Sullivan, PHARMD
• Andrew Sullivan
• Cortessia Badie Sullivan, DNP, RN
• James Gregory Sullivan, MD
• Joel Brent Sullivan, DO
• Karen Sullivan, CRNP
• Kimberly Allsopp Sullivan, CRNP
• Mary Janette Sullivan, CRNP

• Diagnostic Radiology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.