John M. Sullivan, M.D. PH.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

207651 Issued in NY

Practice address

3495 Bailey Ave
Building 20, Ms151, VA Wny Healthcare System,
Buffalo, NY 14215-1129

Phone

(716) 862-6533

Fax

(716) 862-6526

NPI assigned

Aug 31, 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

Medicare fee-for-service enrollment

Enrolled in NY

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

Ophthalmology

Education

Icahn School of Medicine at Mount Sinai, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Ophthalmology Services IncGroup PAC ID 6103888441, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.41 of 100Reported as group

Quality

85.08

Promoting interoperability

95

Improvement activities

40

Cost

78.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• University Ophthalmology Services Inc.

  • Ophthalmology Physician
  • Amherst, NY
  • NPI 1093860843
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770694499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 KENTON PL",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754309",
            "telephone_number": "716-649-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "address_2": "BUILDING 20, MS151, VA WNY HEALTHCARE SYSTEM,",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-862-6533",
            "fax_number": "716-862-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Sullivan
• Erin Sullivan
• Holly Therese Sullivan
• Jeanetta Sullivan
• Jessica Sullivan, M.S ED
• Kailey Sullivan
• Margaret Anne Sullivan
• Samantha A Sullivan
• Trinity Joy Sullivan
• Ayesha Sultana, MD

• Ophthalmology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.