NPIMap

Individual provider Active NPI

Tollin Knight Sullivan, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1922387091
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A130084 Issued in CA
Practice address
2510 Airpark Dr Ste 201
Redding, CA 96001
Phone
(732) 294-2540
Fax
(530) 244-1821
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A130084 CA Primary

Addresses

Primary practice location

2510 Airpark Dr Ste 201
Redding, CA 96001

Mailing address

2510 Airpark Dr Ste 203
Redding, CA 96001-2461
Phone (530) 244-4034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912001118 CA Practitioner - Family Practice 5294954863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding Family Medical Group IncGroup PAC ID 4385691815, 5 clinicians

Practice addresses (Care Compare)

2510 Airpark Dr
Suite 201
Redding, CA 96001-2461
Phone (530) 244-4034

Hospital & facility affiliations

  • Mercy Home Care Home health agency, Redding, CA, CCN 057609
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Northstar Healthcare Services Home health agency, Sacramento, CA, CCN 757243
  • Accentcare Home Health of California, Inc Home health agency, Redding, CA, CCN 557273
  • Medical Home Care Professionals Home health agency, Redding, CA, CCN 557107
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Mayers Memorial Hospital Hospital, Fall River Mills, CA, CCN 051305

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130084CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Family Medical Group Inc Family Medicine CurrentSince Sep 1, 2014 Accepting new patients
Dignity Health PastSince Sep 1, 2014 Accepting new patients

Locations

2510 Airpark Dr
Ste 201203
Redding, CA 96001

2510 Airpark Dr
Ste 201
Redding, CA 96001
Phone (530) 244-4034

2510 Airpark Dr
Ste 203
Redding, CA 96001
Phone (530) 244-4034

Organizations & group practices 2

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 11

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1922387091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR STE 203",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012461",
            "telephone_number": "530-244-4034",
            "fax_number": "530-244-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR STE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "732-294-2540",
            "fax_number": "530-244-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TOLLIN",
        "middle_name": "KNIGHT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A130084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.