Active NPI
Daniel J Sullivan, D.O.
- Physical Medicine & Rehabilitation Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0102204769
- Practice address
- 545 Ray C Hunt Dr
Charlottesville, VA 22903-2981 - Phone
- (434) 244-2000
- Fax
- (434) 243-5600
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0102204769 | VA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | H0053418 | MD |
Addresses
Primary practice location
545 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-3627
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325601400 | Medicaid | MD | |
| 68576206 | Other | MD | BLUE SHIELD TRADITIONAL |
| P00297124 | Other | RR MEDICARE | |
| W2660010 | Other | MD | MD BLUE SHIELD REGIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- College of Osteo Med of the Pacific at Pomona, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone (434) 244-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0053418 | MD | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
515 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 244-2000
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
545 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 243-0311
70 Medical Center Cir
Ste 302
Fishersville, VA 22939
Phone (540) 221-7350
70 Medical Center Cir
Ste 103
Fishersville, VA 22939
Phone (540) 245-7400
Organizations & group practices 2
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
dba UVA Encompass Health Rehabilitation Hospital
- Rehabilitation Hospital
- Charlottesville, VA
- NPI 1144293846
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1306866785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 RAY C HUNT DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032981",
"telephone_number": "434-244-2000",
"fax_number": "434-243-5600"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0102204769",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "H0053418",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "325601400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD TRADITIONAL",
"identifier": "68576206",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00297124",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD BLUE SHIELD REGIONAL",
"identifier": "W2660010",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.