Individual provider Active NPI

Dennis Michael Sullivan, M.D.

  • Emergency Medicine Physician
  • West Monroe, LA
National Provider Identifier
1861421265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
017356 Issued in LA
Practice address
703 Comanche TRL
West Monroe, LA 71291-8117
Phone
(318) 396-4828
NPI assigned
Jun 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1941549MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000286 LA Practitioner - Emergency Medicine 4688610025 Reassigns benefits to 12 organizations

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 100Reported as group
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

LicenseStateTypeSpecialty
017356LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union General Hospital, Inc Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Natchitoches Parish Hospital Service District CurrentSince Nov 13, 2024 Accepting new patients
Emergency Group of St Landry LLC Emergency Medicine CurrentSince Dec 13, 2021 Accepting new patients
Webster Emergency Group LLC Emergency Medicine CurrentSince Sep 16, 2023 Accepting new patients
Monroe Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Aug 3, 2021 Accepting new patients
Northern Louisiana Emergency Physicians LLP Emergency Medicine CurrentSince Sep 14, 2021 Accepting new patients
Island Medical Winnsboro LLC Emergency Medicine CurrentSince Oct 20, 2017 Accepting new patients
Northern Louisiana Emergency Physicians, LLP Emergency Medicine CurrentSince Sep 14, 2021 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Sep 16, 2019 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Aug 10, 2024 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Sep 16, 2019 Accepting new patients
Natchitoches Parish Hospital Service District CurrentSince Nov 13, 2024 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Aug 10, 2024 Accepting new patients
RH Emergency Medicine of Natchitoches LLC Emergency Medicine CurrentSince Oct 13, 2025 Accepting new patients
Union General Hospital CurrentSince Jun 1, 2025 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Sep 1, 2024 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.

View all 19

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.