Active NPI
Christopher Andrew Sullivan, MD
- Maternal & Fetal Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 45765
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 684096 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45765 | AZ | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis OB GYN PLLC | Obstetrics & Gynecology | Current | 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
- https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
- 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.
-
- Obstetrics & Gynecology Physician
- Tucson, AZ
- NPI 1992994214
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Maternal & Fetal Medicine Physician
- Tampa, FL
- NPI 1831485093
-
- Obstetrics & Gynecology Physician
- Addison, TX
- NPI 1952703373
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.