Daniel M Sullivan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301063953 Issued in MI

Practice address

75 Barclay Cir
Ste 200
Rochester Hills, MI 48307-4508

Phone

(248) 853-9177

Fax

(248) 853-7258

NPI assigned

Nov 11, 2005

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 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

General Surgery

Education

University of Rochester School of Medicine and Dentistry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester General Surgery PLCGroup PAC ID 8729114459, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsullivan250105@direct.hfhs.org
• Direct secure messaging: dsullivan@rgsplc.directglo.com

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.

• Rochester General Surgery PLC

  • Surgery Physician
  • Rochester Hills, MI
  • NPI 1437222965

  MI, Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Henry Ford Macomb Hospital Corporation

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1134265986

  MI

  Medicare reassignment NPD
• SJMH Medical Practice-SMHC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1346284684

  MI, Surgery

  Medicare reassignment NPD
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD
• Henry Ford Macomb Hospital Corporation

  • Obstetrics & Gynecology Physician
  • Clinton Township, MI
  • NPI 1861539892

  Surgery

  NPD
• SJMH Medical Practice-SMHC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1366644551
  NPD
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  NPD (past)

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

• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203

  Hospital

  Care Compare affiliation
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088

  Hospital

  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352

  Hospital

  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1750362000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074508",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074508",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301063953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4386959-10",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438695910",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSullivan@RGSPLC.directglo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Barclay Cir",
            "address_2": "Ste 200",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483074508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sudha N. Purohit M.D.P.C.
• Sugarloaf Psychotherapy
• Janice Day Suhajda, M.D.
• Harry P. Sukumaran, M.D.
• Jon F Suleskey, D.O.
• Sundial Psychology PLLC
• Christi Sundt
• Muralidhar Venkata Satya Sunkara, PT,DPT
• Susan Sunny, OD
• Sunrise Anesthesiology of Michigan, PC

• All providers in Rochester Hills, MI
• Surgery Physician in Michigan

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