Richard Joseph Sullivan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116001 Issued in NY

Practice address

7904 Turin Rd
Rome, NY 13440-1933

Phone

(315) 336-3400

Fax

(315) 336-2691

NPI assigned

Nov 20, 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 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Richard J Sullivan, M.D., P.C.

  • Primary Care Clinic/Center
  • Rome, NY
  • NPI 1497024178
  NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1275607624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4440",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134424440",
            "telephone_number": "315-336-3400",
            "fax_number": "315-336-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7904 TURIN RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134401933",
            "telephone_number": "315-336-3400",
            "fax_number": "315-336-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "116001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00604215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stonehedge Health & Rehabilitation Center
• Olena Andriyivna Stout, FNP
• Emily Patricia Streeter, M.S., CCC-SLP
• Julie Ann Strzepek
• Eileen Kay Sturtevant, LPN
• Margaret Sunderland, LCSW
• Sunkyung J Hong MD PC
• Surgical Associates of Rome MD PC
• Robyn Sylvester, RD LPN CDN
• Leslie Joseph Szempruch, PH.D.

• Internal Medicine Physician in Rome, NY
• Providers in Rome, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.