Individual provider Active NPI

Marguerite Sullivan, M.D.

  • Dermatology Physician
  • Wellesley Hills, MA
National Provider Identifier
1811420532
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
276802 Issued in MA
Practice address
1 Washington St Ste 401
Wellesley Hills, MA 02481-1737
Phone
(781) 416-3500
Fax
(781) 416-3505
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 276802 MA Primary

Addresses

Primary practice location

1 Washington St Ste 401
Wellesley Hills, MA 02481-1737

Mailing address

1 Washington St Ste 401
Wellesley Hills, MA 02481-1737
Phone (781) 416-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20210226002150 MA Practitioner - Dermatology 1052662608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krauss Dermatology PCGroup PAC ID 6103845094, 9 clinicians

Practice addresses (Care Compare)

1 Washington St
Suite 401
Wellesley Hills, MA 02481-1737
Phone (781) 416-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions409
Skin biopsy217

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Dermatology Associates, P.C. Dermatology CurrentSince Feb 23, 2021 Accepting new patients
Krauss Dermatology PC Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Massderm Billing PC Dermatology CurrentSince Feb 23, 2021 Accepting new patients

Locations

900 Cummings Ctr
Ste 311T
Beverly, MA 01915
Phone (978) 225-3376

1 Washington St
Ste 401
Wellesley Hls, MA 02481
Phone (781) 416-3500

Interoperability endpoints

  • Direct secure messaging: sullivan.marguerite.mda@direct.partners.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1811420532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST STE 401",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811737",
            "telephone_number": "781-416-3500",
            "fax_number": "781-416-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST STE 401",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811737",
            "telephone_number": "781-416-3500",
            "fax_number": "781-416-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARGUERITE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "276802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.