John Sullivan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G12933 Issued in CA

Practice address

220 Meridian Ave
San Jose, CA 95126-2903

Phone

(408) 869-3400

Fax

(408) 947-7972

NPI assigned

Jan 27, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Ophthalmology

Education

Georgetown University School of Medicine, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BDHV Medical Group of California PCGroup PAC ID 1850658428, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.76 of 100Reported as group

Quality

94.46

Improvement activities

40

Cost

76.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• BDHV Medical Group of California, PC

  • Eyewear Supplier
  • San Jose, CA
  • NPI 1861915142
  Medicare reassignment Care Compare group NPD
• BDHV Medical Group of California, PC

  • Ophthalmology Physician
  • San Jose, CA
  • NPI 1598288078
  NPD
• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• El Camino Hospital

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  NPD (past)
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• O'Connor Hospital

  • Critical Access Hospital
  • Delhi, NY
  • NPI 1801975156
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1285605303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262903",
            "telephone_number": "408-869-3400",
            "fax_number": "408-947-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262903",
            "telephone_number": "408-869-3400",
            "fax_number": "408-947-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G12933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsullivan@bdhealth.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "220 Meridian Ave",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951262903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Lee Sullivan-Boileau, PHD
• Bailey Sullivan
• Bryonna Sullivan
• Drew Sullivan, MD
• Jani K Sullivan, MS
• Leslie A Sullivan, M.D.
• Lisa Sullivan, M.A. LMFT
• Madelyn Sullivan
• Malin Sullivan
• Moira Sullivan, MS, OTR/L

• Ophthalmology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.