NPIMap

Individual provider Active NPI

Matthew James Sullivan, D.O.

  • Gastroenterology Physician
  • Allentown, PA
National Provider Identifier
1306282793
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OT015008 Issued in PA
Practice address
1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309
Phone
(610) 821-2828
Fax
(610) 821-7915
NPI assigned
May 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS017229 PA
Gastroenterology Physician 207RG0100X OT015008 PA Primary
Internal Medicine Physician 207R00000X OT015008 PA

Addresses

Primary practice location

1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309

Mailing address

1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309
Phone (610) 821-2828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthewsullivan@epgi.allscripts.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160628001296 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 3870733728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Health Partners Community Health CenterGroup PAC ID 4284065327, 121 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

400 N 17TH St
Allentown, PA 18104-5052

401 N 17TH St
105 LV Specialty Care Physicians Practice
Allentown, PA 18104-5049
Phone (610) 969-4470

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT015008PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Family Care Centers Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Eastern Pennsylvania Gastroenterology & Liver Specialists P C Gastroenterology CurrentSince Jul 20, 2020 Accepting new patients
Family Care Centers Inc. Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 1, 2020 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

3080 Hamilton Blvd
Ste 350
Allentown, PA 18103
Phone (484) 661-4650

1501 N Cedar Crest Blvd
Ste 110
Allentown, PA 18104
Phone (610) 821-2828

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

175 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3401

3701 Corriere Rd
Ste 17
Easton, PA 18045
Phone (610) 821-2828

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: msullivan11380@direct2.lvhn.org
  • Direct secure messaging: matthewsullivan@epgi.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1306282793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD STE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD STE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2021-05-26",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS017229",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OT015008",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT015008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewsullivan@epgi.allscripts.net",
            "affiliation": "N",
            "address_1": "1501 N Cedar Crest Blvd Ste 110",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181042309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.