Timothy W Sullivan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16565 Issued in NH

Practice address

155 Borthwick Ave
Suite 200 E
Portsmouth, NH 03801-7156

Phone

(603) 436-1773

Fax

(603) 427-0655

NPI assigned

Apr 27, 2010

Last updated

May 11, 2020By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Ophthalmology

Education

University of Michigan Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyesight Ophthalmic Services PLLCGroup PAC ID 3971588609, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyesight Ophthalmic Services PLLC

  • Ophthalmology Physician
  • Portsmouth, NH
  • NPI 1073736310
  Medicare reassignment Care Compare group
• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644
  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Berlin, NH
  • NPI 1134266679
  NPD
• Coastal Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Newington, NH
  • NPI 1336713890
  NPD (past)
• Kittery Ophthalmic Consultants

  • Ophthalmology Physician
  • Kittery, ME
  • NPI 1578765640
  NPD (past)
• Weoc ER Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1194953760
  NPD (past)

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

• HCA Health Services of New Hampshire Inc

  dba Portsmouth Regional Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  Care Compare affiliation
• Wentworth Douglass Hospital

  • General Acute Care Hospital
  • Dover, NH
  • NPI 1033118104
  Care Compare affiliation
• Wentworth Douglass Hospital

  • Diabetes Educator Registered Nurse
  • Dover, NH
  • NPI 1407385198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1538486717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE",
            "address_2": "SUITE 200 E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017156",
            "telephone_number": "603-436-1773",
            "fax_number": "603-427-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE",
            "address_2": "SUITE 200 E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017156",
            "telephone_number": "603-436-1773",
            "fax_number": "603-427-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "16565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098071",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eli James Sugarman, MD
• Christine Suhesky
• Dara Osama Abdallah Suleiman, M.D.
• Janelle Sullivan, BCHN
• Mark C Sullivan, PA-C
• Sunbridge Clipper Home of Portsmouth LLC (Clipper Harbor)
• Lauren Anna Super, BA
• Susan a Murray MD PLLC
• Susan Krolewski
• Cheryl Sutherland, MSW

• Ophthalmology Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.