Adriana Sullivan

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

T1229 Issued in TX

Practice address

1600 Coit Rd Ste 402
Plano, TX 75075-6173

Phone

(972) 612-8829

Fax

(972) 612-2875

NPI assigned

Apr 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asullivan68291@direct.phhs.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.

• Adriana Sullivan, M.D., PLLC

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1720952815
  NPD Authorized official

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1871027052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 402",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756173",
            "telephone_number": "972-612-8829",
            "fax_number": "972-612-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 402",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756173",
            "telephone_number": "972-612-8829",
            "fax_number": "972-612-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T1229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebola Sulaiman
• Suraj Sulhan, MD
• Lee Mary Sulkin, NP
• Sullivan Chiropractic Centers, PA
• Erin Sullivan-Baca, PHD
• Anne Sullivan
• John Perry Sullivan, MD
• Timothy Sullivan, M.D.
• Timothy E Sullivan, DC
• Sam Thio Sum-Ping, MD

• Obstetrics & Gynecology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.