Robert W Sullivan, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103000735 Issued in VA

Practice address

1700 Pleasure House Rd
Suite 101-102
Virginia Beach, VA 23455-4053

Phone

(757) 363-3338

Fax

(757) 363-3453

NPI assigned

Feb 13, 2006

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 5

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.62 of 100Reported as group

Quality

69.24

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rsullivan@weil.emadirect.md

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.

• 1Foot 2Foot Centre for Foot and Ankle Care, PC

  • Podiatrist
  • Suffolk, VA
  • NPI 1427105949
  Medicare reassignment NPD
• 1Foot 2Foot Centre for Foot and Ankle Care, PC

  • Foot & Ankle Surgery Podiatrist
  • Chesapeake, VA
  • NPI 1346057841
  NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1669445300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PLEASURE HOUSE RD",
            "address_2": "SUITE 101-102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554053",
            "telephone_number": "757-363-3338",
            "fax_number": "757-363-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PLEASURE HOUSE RD",
            "address_2": "SUITE 101-102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554053",
            "telephone_number": "757-363-3338",
            "fax_number": "757-363-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "15443",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "412179",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009303669",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "305079",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480026957",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare Sullivan
• Deborah Sullivan, PT
• Elizabeth Sullivan, RBT
• Jamie L Sullivan, DC
• Karen Ann Sullivan, MD
• Tatiana Sullivan, MEDICAL INTERPRETER
• William A Sullivan, DPT
• Sully'S Run Equine Services, LLC
• Trae'Vis Sumler
• Jasmine Summerlin

• Foot & Ankle Surgery Podiatrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.