Individual provider Active NPI

Christopher Andrew Sullivan, MD

  • Maternal & Fetal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1811008253
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
45765 Issued in AZ
Practice address
6565 E Carondelet Dr Ste 300
Tucson, AZ 85710-2158
Phone
(520) 392-7500
Fax
(520) 323-4350
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 45765 AZ Primary

Addresses

Primary practice location

6565 E Carondelet Dr Ste 300
Tucson, AZ 85710-2158

Mailing address

2424 N. Wyatt Dr., Ste. 260
Tucson, AZ 85712-8571
Phone (520) 545-0608

Other practice location 1

6367 E Tanque Verde Rd Ste 20
Tucson, AZ 85715-3820
Phone (520) 392-7500

Other practice location 2

6261 N La Cholla Blvd Ste 2
Tucson, AZ 85741-3565
Phone (520) 392-7500

Other identifiers 1

IdentifierTypeStateIssuer
684096MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120412000642 AZ Practitioner - Obstetrics/Gynecology 9931143591 Reassigns benefits to 1 organization
I20260319003226 FL Practitioner - Obstetrics/Gynecology 9931143591 Reassigns benefits to 2 organizations
I20260409003924 TX Practitioner - Obstetrics/Gynecology 9931143591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1521 E Tangerine Rd
Suite 361
Oro Valley, AZ 85755-6224
Phone (520) 545-0573

6261 N la Cholla Blvd
Tucson, AZ 85741-3565
Phone (520) 392-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45765AZMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Apr 9, 2012 Accepting new patients
St. Joseph'S Healthcare, Inc. Past Accepting new patients

Locations

1710 N Mastick Way
Nogales, AZ 85621

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

5111 N Scottsdale Rd
Ste 143
Scottsdale, AZ 85250
Phone (480) 716-5998

174 S Coronado Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 417-9920

5750 E Highway 90
Ste 300A
Sierra Vista, AZ 85635
Phone (520) 458-8075

6565 E Carondelet Dr
Ste 300
Tucson, AZ 85710
Phone (520) 296-8500

6060 N Fountain Plaza Dr
Ste 200
Tucson, AZ 85704
Phone (520) 731-5540

6261 N La Cholla Blvd
Ste 3
Tucson, AZ 85741

6261 N La Cholla Blvd
Ste 2
Tucson, AZ 85741

6367 E Tanque Verde Rd
Ste 200
Tucson, AZ 85715
Phone (520) 290-5888

4881 E Grant Rd
Tucson, AZ 85712
Phone (520) 829-6776

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

6565 E Carondelet Dr
Ste 310
Tucson, AZ 85710
Phone (602) 296-2415

2424 N Wyatt Dr
Fl 2
Tucson, AZ 85712
Phone (520) 545-0930

1871 W Orange Grove Rd
Ste 101
Tucson, AZ 85704
Phone (520) 219-8342

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christopher.a.sullivan.1@19050.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1811008253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 N. WYATT DR., STE. 260",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128571",
            "telephone_number": "520-545-0608",
            "fax_number": "520-795-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102158",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6367 E Tanque Verde Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857153820",
            "country_code": "US",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6261 N La Cholla Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413565",
            "country_code": "US",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "45765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684096",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.