Timothy Sullivan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

L1470 Issued in TX

Practice address

3901 W 15TH Street
Plano, TX 75075-7738

Phone

(972) 596-6800

NPI assigned

Mar 25, 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 TX

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

Diagnostic Radiology

Education

Tufts University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Arlington Hospital, Arlington, TX, CCN 450675
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Medical City Denton Hospital, Denton, TX, CCN 450634
• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
• Navarro Regional Hospital Hospital, Corsicana, TX, CCN 450447

Merit-based Incentive Payment System (MIPS)

Final score

91.4 of 100Reported as group

Quality

100

Improvement activities

40

Cost

71.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmctsulli@yourcarecommunity.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.

• Texas Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1427016161
  Medicare reassignment Care Compare group NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Diagnostic Radiology

  Medicare reassignment NPD
• Texas Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Bedford, TX
  • NPI 1730419904
  NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• Gainesville Hospital District

  • Clinic/Center
  • Gainesville, TX
  • NPI 1902317159
  NPD (past)
• Associated Radiologists of the Finger Lakes PC

  • Diagnostic Ultrasound Physician
  • Elmira, NY
  • NPI 1063489060

  Diagnostic Radiology

  NPD (past)

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

• Columbia Medical Center of Arlington Subsidiary LP

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1134172406
  Care Compare affiliation
• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Navarro Hospital LP

  • General Acute Care Hospital
  • Corsicana, TX
  • NPI 1144274226
  Care Compare affiliation
• Weatherford Health Services, LLC

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1821058595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "STE 1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935215",
            "telephone_number": "972-867-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH STREET",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141094601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sullivan Chiropractic Centers, PA
• Erin Sullivan-Baca, PHD
• Adriana Sullivan
• Anne Sullivan
• John Perry Sullivan, MD
• Timothy E Sullivan, DC
• Sam Thio Sum-Ping, MD
• Beth Summers, O.D., M.S.
• Summit Neuromonitoring PLLC
• Summit Physical Therapy P a

• Diagnostic Radiology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.