Scott J Sullivan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

039001 Issued in CT

Practice address

49 Lake Ave
Greenwich, CT 06830-4501

Phone

(203) 869-6220

Fax

(203) 869-2672

NPI assigned

May 4, 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 1

Medicare fee-for-service enrollment

Enrolled in CT, MT, ME, OR, CO, IL, WY, MN8 enrollments

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 8

Specialty

Diagnostic Radiology

Education

Georgetown University School of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Red River Consultants IncGroup PAC ID 1355303363, 56 clinicians

Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians

West Florida Radiology Associates PAGroup PAC ID 0941224612, 33 clinicians

Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians

Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians

Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians

Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians

The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Greenwich Radiological Group PCGroup PAC ID 9436170263, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 63)

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: ssullivan7648@direct.ynhh.org
• Direct secure messaging: ssullivan149292@uihcdirect.org

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.

• Greenwich Radiological Group, PC

  • Diagnostic Radiology Physician
  • Greenwich, CT
  • NPI 1932167830
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Owings Mills, MD
  • NPI 1932167178

  CT

  Medicare reassignment Care Compare group NPD
• Crouse Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1447244587

  CT

  Medicare reassignment Care Compare group NPD
• Englewood Radiologic Group P a

  • Diagnostic Radiology Physician
  • Englewood, NJ
  • NPI 1639136914

  CT

  Medicare reassignment Care Compare group NPD
• Mori Bean and Brooks Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  CT

  Medicare reassignment Care Compare group NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489

  CT

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Burlington County P a

  • Diagnostic Radiology Physician
  • Mount Holly, NJ
  • NPI 1255385183

  CT

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Muncie, Inc.

  • Diagnostic Radiology Physician
  • Seymour, IN
  • NPI 1306883251

  CT

  Medicare reassignment Care Compare group NPD
• Red River Consultants, Inc

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1902877426

  CT

  Medicare reassignment Care Compare group NPD
• South Jersey Radiology Associates P a

  • Diagnostic Radiology Physician
  • Voorhees, NJ
  • NPI 1477551653

  CT

  Medicare reassignment Care Compare group NPD
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766

  CT

  Medicare reassignment Care Compare group NPD
• Virtual Radiologic Professionals, LLC

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1932342029

  CT

  Medicare reassignment Care Compare group NPD

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

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Care Compare affiliation
• Hti Memorial Hospital Corporation

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1790733822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-861-2381",
            "fax_number": "203-983-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-6220",
            "fax_number": "203-869-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "039001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001390012",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Leigh Studwell, DHSC, MBA, MS, OTR/L
• Marisa Yue-Ting Su, MD
• Susan Subramanian, LMSW
• Andrew J Sullivan, PT
• Hope Tiezzi Sullivan, PA-C
• Kairui Sun, DO
• Sunil Rana, MD PC
• Kieran Suntha
• Surgical Specialists of Greenwich
• Miriam Sussman, PA-C

• Diagnostic Radiology Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.