Alice Prescott Sullivan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0101656 Issued in MD

Practice address

PO Box 877
Columbia, MD 21044-0877

Phone

(707) 308-8675

Fax

(855) 488-4577

NPI assigned

Jul 7, 2008

Last updated

Mar 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Alice Benjamin Prescott Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 11, 2025 through Apr 11, 2027

Merit-based Incentive Payment System (MIPS)

Final score

96.78 of 100Reported as apm

Quality

89.46

Promoting interoperability

99.02

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• City of Austin

  dba City of Austin Office of Chief Medical Officer

  • Emergency Medical Services (Emergency Medicine) Physician
  • Austin, TX
  • NPI 1083245070

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1740443118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210440877",
            "telephone_number": "512-777-9804",
            "fax_number": "855-488-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210440877",
            "telephone_number": "707-308-8675",
            "fax_number": "855-488-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALICE",
        "middle_name": "PRESCOTT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "98423",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0101656",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "PRESCOTT",
            "middle_name": "BENJAMIN",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thenmoli Subramaniam
• Annabella Sueiras
• Shayla Suite
• Sehar Sukhera
• Sulekha Agrawal DMD LLC (Columbia Family Dental Care)
• Atina Lorene Sullivan, NURSE PRACTITIONER
• Barbara A Sullivan, M.S.
• Patricia Martin Sullivan, M.D.
• Sarah Elizabeth Sullivan
• Emily Summers

• Family Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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; Opt Out Affidavits.
• 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.