Active NPI
Dennis Michael Sullivan, M.D.
- Emergency Medicine Physician
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 017356
- Practice address
- 703 Comanche TRL
West Monroe, LA 71291-8117 - Phone
- (318) 396-4828
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 017356 | LA | Primary |
Addresses
Primary practice location
703 Comanche TRL
West Monroe, LA 71291-8117
Mailing address
703 Comanche TRL
West Monroe, LA 71291-8117
Phone (318) 396-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1941549 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
254 Hwy 3048
Rayville, LA 71269-3624
Phone (318) 728-4181
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.16 of 100
- Quality
- 74.02
- Improvement activities
- 40
- Cost
- 78.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017356 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union General Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Natchitoches Parish Hospital Service District | Current | Accepting new patients | |
| Emergency Group of St Landry LLC | Emergency Medicine | Current | Accepting new patients |
| Webster Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Monroe Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current | Accepting new patients |
| Northern Louisiana Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Island Medical Winnsboro LLC | Emergency Medicine | Current | Accepting new patients |
| Northern Louisiana Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Franklin Parish Hospital Service Dist 1 | Current | Accepting new patients | |
| Nes Louisiana Inc | Emergency Medicine | Current | Accepting new patients |
| Franklin Parish Hospital Service Dist 1 | Current | Accepting new patients | |
| Natchitoches Parish Hospital Service District | Current | Accepting new patients | |
| Nes Louisiana Inc | Emergency Medicine | Current | Accepting new patients |
| RH Emergency Medicine of Natchitoches LLC | Emergency Medicine | Current | Accepting new patients |
| Union General Hospital | Current | Accepting new patients | |
| Concord North Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
| St Francis ER Physicians | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681
901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
309 Jackson St
#C
Monroe, LA 71201
Phone (318) 966-4171
501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
601 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Richardson Medical Center
- General Acute Care Hospital
- Rayville, LA
- NPI 1255370144
-
- Emergency Medicine Physician
- Ville Platte, LA
- NPI 1164491320
-
- Emergency Medicine Physician
- Many, LA
- NPI 1477590974
-
dba Franklin Medical Center
- Rural Acute Care Hospital
- Winnsboro, LA
- NPI 1619143120
-
- Emergency Medicine Physician
- Winnsboro, LA
- NPI 1538515135
-
- Emergency Medical Services (Emergency Medicine) Physician
- Monroe, LA
- NPI 1386235331
-
dba Natchitoches Regional Medical Center
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1669542346
-
- Emergency Medicine Physician
- Natchitoches, LA
- NPI 1669922431
-
dba Northern Louisiana Physicians LLP
- Emergency Medicine Physician
- Ruston, LA
- NPI 1588828172
-
- Critical Access Hospital
- Farmerville, LA
- NPI 1881678704
-
- Emergency Medicine Physician
- Minden, LA
- NPI 1245209527
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Natchitoches Medical Clinic
- Rural Health Clinic/Center
- Campti, LA
- NPI 1093933897
Hospital
-
dba NRMC Women's Health Center
- Obstetrics & Gynecology Physician
- Natchitoches, LA
- NPI 1568897692
Hospital
-
dba Natchitoches Imaging
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1639243967
-
dba Natchitoches Regional Medical Center
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1689676835
-
dba NRMC Walk In Clinic
- Clinic/Center
- Natchitoches, LA
- NPI 1821414897
Hospital
-
dba NRMC Cancer Center
- Radiation Oncology Physician
- Natchitoches, LA
- NPI 1972171072
Hospital
-
dba Richardson Medical Center
- General Acute Care Hospital
- Rayville, LA
- NPI 1255370144
-
- Critical Access Hospital
- Farmerville, LA
- NPI 1881678704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861421265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 COMANCHE TRL",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712918117",
"telephone_number": "318-396-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 COMANCHE TRL",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712918117",
"telephone_number": "318-396-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "DENNIS",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "017356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1941549",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.