Individual provider Active NPI

Rebecca S Sullivan, MD

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1609898667
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101102732 Issued in VA
Practice address
4701 Spotsylvania Pkwy
Suite 205
Fredericksburg, VA 22407-9435
Phone
(540) 834-5430
Fax
(540) 834-5431
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101102732 VA Primary

Addresses

Primary practice location

4701 Spotsylvania Pkwy
Suite 205
Fredericksburg, VA 22407-9435

Mailing address

4701 Spotsylvania Pkwy Ste 205
Fredericksburg, VA 22407-9435
Phone (540) 834-5430

Other identifiers 13

IdentifierTypeStateIssuer
34113OtherVACARENET #
296685OtherVAOPT CHOICE/MDIPA/MAMSI #
542039043OtherVAVIRGINIA HEALTH NETWORK #
542039043OtherVAUNITED HEALTHCARE #
542039043OtherVAPRIVATE HEALTHCARE SYSTEM
505725OtherVANCPPO
542039043OtherVACIGNA #
143040OtherVASOUTHERN HEALTH #
542039043OtherVAAETNA #
6701086MedicaidVA
218746OtherVAANTHERM BCBS PROVIDER #
296685OtherVAALLIANCE NUMBER
40919OtherVASENTARA/OPTIMA HEALTH #

Other names 1

  • Dr. Rebecca S Simes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address REBECCA.SIMES@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110121000174 VA Practitioner - Pediatric Medicine 5395924401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
76.7
Promoting interoperability
100
Improvement activities
40
Cost
67.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101102732VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Multi-Specialty, LLC CurrentSince Oct 16, 2019 Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients
Pratt Medical Center LTD Pediatrics Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
Spotsylvania Multi-Specialty Group, LLC PastSince Oct 16, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4701 Spotsylvania Pkwy
Ste 205
Fredericksburg, VA 22407
Phone (540) 834-5430

1451 Hospital Dr
Ste 201
Fredericksburg, VA 22401
Phone (540) 361-2040

1451 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 267-6009

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1609898667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY STE 205",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-834-5430",
            "fax_number": "540-834-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY",
            "address_2": "SUITE 205",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-834-5430",
            "fax_number": "540-834-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "REBECCA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101102732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET #",
            "identifier": "34113",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT CHOICE/MDIPA/MAMSI #",
            "identifier": "296685",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK #",
            "identifier": "542039043",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE #",
            "identifier": "542039043",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "542039043",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "505725",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA #",
            "identifier": "542039043",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH #",
            "identifier": "143040",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "542039043",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6701086",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHERM BCBS PROVIDER #",
            "identifier": "218746",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE NUMBER",
            "identifier": "296685",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA HEALTH #",
            "identifier": "40919",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "REBECCA.SIMES@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4701 Spotsylvania Pkwy",
            "address_2": "SUITE 205",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224079435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SIMES",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.