Active NPI
Mark Ford Sullivan, M.D.
- Internal Medicine Physician
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101264845
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 291511-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Northern Virginia Family Practice Associates | Current | 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.
-
- Family Medicine Physician
- Arlington, VA
- NPI 1992869689
DC
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.