NPIMap

Individual provider Active NPI

Donald J Sullivan, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Germantown, TN
National Provider Identifier
1508814484
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
26078 Issued in TN
Practice address
9639 Fox Hill Cir N
Germantown, TN 38139-6812
Phone
(901) 315-7932
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X W2916 TX
Hospitalist Physician 208M00000X 26078 TN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 26078 TN Primary

Addresses

Primary practice location

9639 Fox Hill Cir N
Germantown, TN 38139-6812

Mailing address

PO Box 1000 Dept 0194
Memphis, TN 38148-2246
Phone (901) 315-7932

Other practice location 1

2400 Saint Michael Dr
Texarkana, TX 75503-2374
Phone (903) 614-4440

Other practice location 2

4100 Austin Peay Hwy
Memphis, TN 38128-2502
Phone (901) 213-5460

Other identifiers 1

IdentifierTypeStateIssuer
P00219690OtherTNRAIL ROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, ID3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040514001086 TN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6103816756 Reassigns benefits to 1 organization
I20250623002875 OH Practitioner - Physical Medicine and Rehabilitation 6103816756 Reassigns benefits to 1 organization
I20251021003986 ID Practitioner - Physical Medicine and Rehabilitation 6103816756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians
St Joseph Hospital LLCGroup PAC ID 8325325806, 91 clinicians

Practice addresses (Care Compare)

1711 27TH St
Portsmouth, OH 45662-2654
Phone (740) 356-6740

415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511

Hospital & facility affiliations

  • St Joseph Regional Medical Center Inpatient rehabilitation facility, Lewiston, ID, CCN 13T003
  • Lima Memorial Health System Inpatient rehabilitation facility, Lima, OH, CCN 36T009
  • Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072
  • Firelands Regional Medical Ctr Inpatient rehabilitation facility, Sandusky, OH, CCN 36T025
  • Christus St Michael Health System Inpatient rehabilitation facility, Texarkana, TX, CCN 45T801

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Jun 9, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Jun 9, 2025 Accepting new patients
St Joseph Hospital LLC CurrentSince Oct 1, 2025 Accepting new patients
Donald J Sullivan MD CurrentSince Mar 3, 2011 Accepting new patients
St. Joseph Hospital LLC Past Accepting new patients
Encompass Health Methodist Rehabilitation Hospital, LP Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

1711 27th St
Ste 103A
Portsmouth, OH 45662
Phone (740) 356-6740

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

4100 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 213-5400

6005 Park Ave
Ste 510
Memphis, TN 38119
Phone (901) 537-7000

Interoperability endpoints

  • Direct secure messaging: dsullivan72845@mlh.direct-ci.com

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1508814484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 0194",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381482246",
            "telephone_number": "901-315-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9639 FOX HILL CIR N",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396812",
            "telephone_number": "901-315-7932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Saint Michael Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032374",
            "country_code": "US",
            "telephone_number": "903-614-4440",
            "fax_number": "903-614-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Austin Peay Hwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282502",
            "country_code": "US",
            "telephone_number": "901-213-5460",
            "fax_number": "901-213-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "W2916",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "26078",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "26078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE PIN",
            "identifier": "P00219690",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.