Marc D Sullivan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40747 Issued in AZ

Practice address

16838 E Palisades Blvd
Suite C153
Fountain Hills, AZ 85268-3845

Phone

(480) 816-3131

Fax

(480) 816-3136

NPI assigned

May 30, 2007

Last updated

Jan 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

University of Arizona College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Phoenix, AZ, CCN 037106
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Merit-based Incentive Payment System (MIPS)

Final score

85.96 of 100Reported as individual

Quality

88.8

Improvement activities

40

Cost

68.13

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIHCAD/Endpoint/HIHCAD

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.

• Mdas LLC

  dba MDS Family Practice

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1801266333
  Medicare reassignment Authorized official

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

• Honorhealth

  dba HonorHealth John C. Lincoln Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation
• Tender Loving Care Health Care Services Western, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1013961267
  Care Compare affiliation

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1437350030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES",
            "address_2": "SUITE C153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "85268",
            "telephone_number": "480-816-3131",
            "fax_number": "480-816-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD",
            "address_2": "SUITE C153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683845",
            "telephone_number": "480-816-3131",
            "fax_number": "480-816-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARC",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "40747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Stone, M.S. OTR/L
• Phillis Straka, RN
• Elizabeth Strimbu, LSC
• Student Therapies and Resource Services
• Michele Marie Stumpf, SLP
• Sun Valley Ultrasound LLC
• Nicole Denise Sundene, NMD
• Sunrise Assisted Living Facility
• Cori Sutter
• Jennifer Ashley Swenson, SLPA

• Family Medicine Physician in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.

Verify at the official NPI Registry.