Kelley W. Sullivan, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D41534 Issued in MD

Practice address

2002 Medical Pkwy
Ste 500
Annapolis, MD 21401-3046

Phone

(410) 573-6480

Fax

(410) 573-9413

NPI assigned

Aug 2, 2006

Sex

Female

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 DC, MD2 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 2

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Maryland School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Capitol Cardiologic, LLPGroup PAC ID 0042226201, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
• University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Merit-based Incentive Payment System (MIPS)

Final score

79.87 of 100Reported as group

Quality

58.83

Promoting interoperability

100

Improvement activities

40

Cost

74.06

Merit-based Incentive Payment System (MIPS)

Final score

85.94 of 100Reported as group

Quality

66.29

Promoting interoperability

100

Improvement activities

40

Cost

74.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Capitol Cardiologic, LLP

  • Cardiovascular Disease Physician
  • Annapolis, MD
  • NPI 1427109776
  Medicare reassignment Care Compare group NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Medstar Heart Institute LLC

  • Surgery Physician
  • Washington, DC
  • NPI 1528345378

  Cardiovascular Disease, MD

  Medicare reassignment Care Compare group NPD
• Cardiology Associates, LLC

  • Specialist
  • Annapolis, MD
  • NPI 1396042719
  Medicare reassignment NPD
• Cardiology Associates, LLC

  • Specialist
  • Washington, DC
  • NPI 1972800399
  Medicare reassignment NPD
• Cardiology Associates, LLC

  • Specialist
  • Leonardtown, MD
  • NPI 1417294380
  NPD
• Medstar Medical Group II LLC

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1578302055
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Cardiology Associates, PC

  • Specialist
  • Washington, DC
  • NPI 1104843127
  NPD (past)
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)
• Washington Heart and Vascular Center, PLLC

  • Interventional Cardiology Physician
  • Washington, DC
  • NPI 1891087565

  Cardiovascular Disease

  NPD (past)

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

• Chester River Hospital Center

  • General Acute Care Hospital
  • Chestertown, MD
  • NPI 1679536809
  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation
• Shore Health System, Inc

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1497762348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "STE 2700N",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-723-5524",
            "fax_number": "202-291-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "STE 500",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-573-6480",
            "fax_number": "410-573-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KELLEY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D41534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Sullivan, MD
• Caroline Sullivan, OD
• Cornelius Joseph Sullivan, DMD
• Kathy Leigh Sullivan, LCSW-C
• Kayla Sullivan, PA-C
• Kelly M Sullivan, MD
• Kerrie L Sullivan, RN CFNP MSN
• Lynn Sullivan, P.T.
• Ryan Shaun Sullivan, OD
• Susan Kathleen Sullivan, M.ED.

• Cardiovascular Disease Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.