Individual provider Active NPI

Naomi Rebecca Sullivan, M.D.

  • Rheumatology Physician
  • Bellingham, WA
National Provider Identifier
1467436493
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
21036 Issued in NE
Practice address
470 Birchwood Ave
Suite C
Bellingham, WA 98225
Phone
(360) 734-5754
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 21036 NE Primary

Addresses

Primary practice location

470 Birchwood Ave
Suite C
Bellingham, WA 98225

Mailing address

3901 Broad St
Bellingham, WA 98229-3339
Phone (360) 483-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070723000646 WA Practitioner - RheumatologyPractitioner - Internal Medicine 0749283752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

470 Birchwood Ave
Suite C
Bellingham, WA 98225-1781
Phone (360) 734-5754

Hospital & facility affiliations

  • Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Merit-based Incentive Payment System (MIPS)

Final score
96.52 of 100Reported as group
Quality
93.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227337MAMDSocial Worker
21036NEMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Arthritis & Rheumatology Rheumatology CurrentSince Jul 1, 2012 Accepting new patients
Mount Baker Rheumatology Center PLLC Rheumatology PastSince Jul 15, 2013 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

470 Birchwood Ave
Ste C
Bellingham, WA 98225
Phone (360) 676-1610

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1467436493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BROAD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293339",
            "telephone_number": "360-483-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BIRCHWOOD AVE",
            "address_2": "SUITE C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-734-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NAOMI",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NE",
            "license": "21036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.