Kathryn F Sullivan, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101249048 Issued in VA

Practice address

60 MDG
101 Bodin Circle
Travis AFB, CA 94535-1800

Phone

(707) 423-7401

NPI assigned

Jan 26, 2007

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, MD, TX3 enrollments

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 3

Specialty

Urology

Education

George Washington University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080
• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.sullivan.1@19847.direct.athenahealth.com

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.

• Titus County Hospital District

  dba Titus Regional Medical Center

  • Multi-Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1063548881
  Medicare reassignment Care Compare group NPD
• Clinch Professional Physician Services LLC

  • Surgery Physician
  • Richlands, VA
  • NPI 1609994284

  Urology

  Medicare reassignment NPD
• Fauquier Physician Practices LLC

  • Internal Medicine Physician
  • Warrenton, VA
  • NPI 1770916983

  Urology

  Medicare reassignment NPD
• Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1619504735
  Medicare reassignment NPD
• Uva Community Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Charlottesville, VA
  • NPI 1598475741
  Medicare reassignment
• Clinch Professional Physician Services LLC

  dba Clinch Valley Family Care

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1669157285
  NPD
• Titus County Hospital District

  dba Center for Pain Management at Titus

  • Medical Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1699327148
  NPD
• Tidalhealth Specialty Care, LLC

  • Adult Mental Health Clinic/Center
  • Salisbury, MD
  • NPI 1962027094
  NPD (past)

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

• Clinch Valley Medical Center Inc.

  dba Clinch Valley Medical Center

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation
• Titus County Hospital District

  dba Titus Regional Medical Center

  • Multi-Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1063548881

  Hospital

  Care Compare affiliation
• Titus County Hospital District

  dba Titus Regional Medical Center

  • General Acute Care Hospital
  • Mount Pleasant, TX
  • NPI 1174526529
  Care Compare affiliation

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1487700167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "720-220-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MDG",
            "address_2": "101 BODIN CIRCLE",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351800",
            "telephone_number": "707-423-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N JEFFERSON AVE STE 210",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552390",
            "country_code": "US",
            "telephone_number": "903-434-7111",
            "fax_number": "903-577-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8691 Stonewall Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104510",
            "country_code": "US",
            "telephone_number": "571-284-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHRYN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "V5135",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101249048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Strawbridge, D.O.
• Phillip Andrew Strawbridge, MD, MPH
• Alexander Sturrock, M.D.
• Teddy Su, MD
• Roshani Subedi, NURSE PRACTITIONER
• Kristin Ruth Summerfelt, RN, PHN
• Narayana K Swamy, M.D.,
• Janna Swanson, LCSW
• Trever Symalla, MD
• Laban Kipkurui Tabartet

• Urology Physician in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.