Active NPI
Lori Ann Sullivan, M.D.
- Family Medicine Physician
- Hilliard, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 054044
- Practice address
- 3617 Heritage Club Dr
Hilliard, OH 43026-1313 - Phone
- (614) 777-5530
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 054044 | OH | Primary |
Addresses
Primary practice location
3617 Heritage Club Dr
Hilliard, OH 43026-1313
Mailing address
3617 Heritage Club Dr
Hilliard, OH 43026-1313
Phone (614) 777-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878
Hospital & facility affiliations
- Mount Carmel Home Care
- Ohiohealth Home Health With Compassus
- Mount Carmel East & West
- Riverside Methodist Hospital
- Doctors Hospital
- Dublin Methodist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054044 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori a Sullivan MD LLC | Family Medicine | Current | Accepting new patients |
| Mount Carmel Healthproviders Inc | Family Medicine | Current | Accepting new patients |
| Mount Carmel Health Providers Inc | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
4674 Britton Pkwy
Ste 2200
Hilliard, OH 43026
Phone (614) 210-4555
3617 Heritage Club Dr
Hilliard, OH 43026
Phone (614) 234-9777
55 N High St
New Albany, OH 43054
Phone (614) 627-1878
Interoperability endpoints
- lsullivan1147845@direct.trinity-health.org
Organizations & group practices 4
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
- Columbus, OH
- NPI 1356384143
-
- Family Medicine Physician
- West Jefferson, OH
- NPI 1083569966
-
- Family Medicine Physician
- Columbus, OH
- NPI 1831364876
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dublin, OH
- NPI 1821103227
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1972535052
-
- Home Health Agency
- Columbus, OH
- NPI 1104863927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417028697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 HERITAGE CLUB DR",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261313",
"telephone_number": "614-777-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 HERITAGE CLUB DR",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261313",
"telephone_number": "614-777-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "054044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.