Individual provider Active NPI

Mark Ford Sullivan, M.D.

  • Internal Medicine Physician
  • Arlington, VA
National Provider Identifier
1346669660
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101264845 Issued in VA
Practice address
2445 Army Navy Dr Ste 400
Arlington, VA 22206-2988
Phone
(703) 379-8879
Fax
(703) 998-6821
NPI assigned
Apr 15, 2014
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 291511-1 NY
Internal Medicine Physician 207R00000X 0101264845 VA Primary

Addresses

Primary practice location

2445 Army Navy Dr Ste 400
Arlington, VA 22206-2988

Mailing address

2445 Army Navy Dr Ste 400
Arlington, VA 22206-2988
Phone (703) 379-8879

Other practice location 1

HSC T16-020
Stony Brook, NY 11794-8160
Phone (631) 444-8478

Other practice location 2

Dept Of Medicine
HSC Level 16, SUNY Stony Brook
Stony Brook, NY 11794-7097
Phone (631) 444-7411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20200206000882 DC Practitioner - Internal Medicine 5597024208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Virginia Family Practice AssociatesGroup PAC ID 6800872433, 11 clinicians

Practice addresses (Care Compare)

2311 M St NW
Suite 301
Washington, DC 20037-1468
Phone (202) 861-0111

2445 Army Navy Dr
Suite 400
Arlington, VA 22206-2988
Phone (703) 379-8879

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291511-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Dec 23, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 23, 2019 Accepting new patients
Northern Virginia Family Practice Associates CurrentSince Apr 8, 2024 Accepting new patients

Locations

2311 M St NW
Ste 301
Washington, DC 20037
Phone (202) 429-3783

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

2445 Army Navy Dr
Ste 400
Arlington, VA 22206
Phone (703) 379-8879

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

6128 Brandon Ave
Ste 201
Springfield, VA 22150
Phone (703) 451-4524

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1346669660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR STE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062988",
            "telephone_number": "703-379-8879",
            "fax_number": "703-998-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR STE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062988",
            "telephone_number": "703-379-8879",
            "fax_number": "703-998-6821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HSC T16-020",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948160",
            "country_code": "US",
            "telephone_number": "631-444-8478",
            "fax_number": "631-444-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Dept Of Medicine",
            "address_2": "HSC Level 16, SUNY Stony Brook",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117947097",
            "country_code": "US",
            "telephone_number": "631-444-7411",
            "fax_number": "631-444-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARK",
        "middle_name": "FORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "291511-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101264845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.