Jason Patrick Sullivan, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD-40971 Issued in IA

Practice address

6001 Westown Pkwy
West Des Moines, IA 50266-7719

Phone

(515) 224-1414

Fax

(515) 224-5140

NPI assigned

Aug 4, 2008

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 IA

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

Orthopedic Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Des Moines Orthopaedic Surgeons PCGroup PAC ID 0345141719, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
• Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032
• Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376
• Monroe County Hospital Hospital, Albia, IA, CCN 161342
• Guthrie County Hospital Hospital, Guthrie Center, IA, CCN 161314

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 and National Provider Directory roles.

• Des Moines Orthopaedic Surgeons PC

  • Orthopaedic Surgery Physician
  • West Des Moines, IA
  • NPI 1255405221
  Medicare reassignment Care Compare group NPD
• Des Moines Orthopaedic Surgeons PC

  • Durable Medical Equipment & Medical Supplies
  • Urbandale, IA
  • NPI 1114783719
  NPD
• Orthopaedic Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • West Des Moines, IA
  • NPI 1447221486
  NPD

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

• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944
  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1356433049
  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1396837951
  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1598905762
  Care Compare affiliation
• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534
  Care Compare affiliation
• Mercy Medical Center-Newton

  • General Acute Care Hospital
  • Newton, IA
  • NPI 1003296179
  Care Compare affiliation
• Monroe County Hospital

  • Critical Access Hospital
  • Albia, IA
  • NPI 1205895299
  Care Compare affiliation

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1669638219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667702",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667719",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JASON",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "MD-40971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669638219",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Sturmer, DNP, FNP-BC
• Kathleen Elizabeth Suddarth, LMSW, MT-BC
• Chad F Suiter, O.T.
• Taylor Sula, DNP
• Anne McCormick Sullivan, PT
• Nicholas Klauer Sullivan, DO
• Patrick Michael Sullivan, MD
• Summit BHC Iowa LLC
• Summit Psychiatry, LLC
• Summit Therapy Services LLC

• Orthopaedic Surgery Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.