Active NPI
Neil Michael Sullivan, M.D.
- Rheumatology Physician
- Norfolk, VA
National Provider Identifier
1346215464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 0101057020
- Practice address
- 844 Kempsville Rd Ste 103B
Norfolk, VA 23502-3927 - Phone
- (757) 261-0200
- Fax
- (757) 261-0201
- NPI assigned
- Feb 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 0101057020 | VA | Primary |
Addresses
Primary practice location
844 Kempsville Rd Ste 103B
Norfolk, VA 23502-3927
Mailing address
844 Kempsville Rd Ste 103B
Norfolk, VA 23502-3927
Phone (757) 261-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005811147 | Medicaid | VA |
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
- Rheumatology
- Education
- Geisel School of Medicine at Dartmouth, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
850 Kempsville Rd
Suite 100H
Norfolk, VA 23502-3920
Phone (757) 261-5910
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
- Sentara Virginia Beach General Hospital
- Sentara Princess Anne Hospital
- Bon Secours Maryview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101057020 | VA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
850 Kempsville Rd
Ste 100H
Norfolk, VA 23502
Phone (757) 261-5910
844 Kempsville Rd
Ste 103B
Norfolk, VA 23502
Phone (757) 261-0200
Interoperability endpoints
- nsullivan24728@direct.sentara.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1346215464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 KEMPSVILLE RD STE 103B",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023927",
"telephone_number": "757-261-0200",
"fax_number": "757-261-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 KEMPSVILLE RD STE 103B",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023927",
"telephone_number": "757-261-0200",
"fax_number": "757-261-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "NEIL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "VA",
"license": "0101057020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005811147",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.