Individual provider Active NPI

Joseph M. Sullivan, DPM

  • Podiatrist
  • Huddleston, VA
National Provider Identifier
1427296375
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300735 Issued in VA
Practice address
2144 Capewood Dr
Huddleston, VA 24104-3430
Phone
(540) 904-8661
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103300735 VA Primary

Addresses

Primary practice location

2144 Capewood Dr
Huddleston, VA 24104-3430

Mailing address

2144 Capewood Dr
Huddleston, VA 24104-3430
Phone (540) 904-8661

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090615000530 VA Practitioner - Podiatry 7214087162 Practice locations: Huddleston, VA; Rocky Mount, VA; Roanoke, VA; Lynchburg, VA; Hardy, VA; Gretna, VA; Danville, VA; Chatham, VA…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

324 King George Ave SW
Roanoke, VA 24016-5213
Phone (540) 345-8139

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue854
Removal or shaving of skin growth18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Therapy Services, LLC Past Accepting new patients
Southern Assisted Living, LLC PastSince Mar 24, 2025 Accepting new patients
Chapman Senior Care, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1427296375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 CAPEWOOD DR",
            "city": "HUDDLESTON",
            "state": "VA",
            "postal_code": "241043430",
            "telephone_number": "540-904-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 CAPEWOOD DR",
            "city": "HUDDLESTON",
            "state": "VA",
            "postal_code": "241043430",
            "telephone_number": "540-904-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huddleston, VA

Sources for this page

Verify at the official NPI Registry.