Thomas S Sullivan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101043001 Issued in VA

Practice address

12018 Sunrise Valley Dr
Suite 400
Reston, VA 20191-3432

Phone

(571) 262-5200

Fax

(571) 521-7249

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Capital Palliative Care Consultants, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Falls Church, VA
  • NPI 1275541013

  Hospice and Palliative Medicine

  NPD (past)
• Fairfax Family Practice Centers, P.C.

  • Family Medicine Physician
  • Centreville, VA
  • NPI 1710060330

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1295742419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 CHANDLEY FARM CIR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201239",
            "telephone_number": "703-815-1124",
            "fax_number": "703-815-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 SUNRISE VALLEY DR",
            "address_2": "SUITE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913432",
            "telephone_number": "571-262-5200",
            "fax_number": "571-521-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101043001",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101043001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010051185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Diane Stroud, LCSW
• Foster Stroup
• Stuart Andrews, LLC
• Stuart Moore LLC
• Julieanne Bonner Sugg, PAC
• Sun Psychiatry PLLC
• Yan Sun, FNP-BC
• Ann Sundaresan, LCSW
• Emily Anne Sunkin, PA-C
• Sunnyview Sleep Center Inc

• Family Medicine Physician in Reston, VA
• Providers in Reston, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.