Individual provider Active NPI

John P Sullivan, M.D.

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1942294095
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME165012 Issued in FL
Practice address
1040 37TH PL Ste 202
Vero Beach, FL 32960-4818
Phone
(315) 790-9317
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME165012 FL Primary
Orthopaedic Surgery Physician 207X00000X 225344 NY

Addresses

Primary practice location

1040 37TH PL Ste 202
Vero Beach, FL 32960-4818

Mailing address

1040 37TH PL Ste 202
Vero Beach, FL 32960-4818
Phone (772) 226-8224

Other practice location 1

1325 36th St Ste B
Vero Beach, FL 32960-6599
Phone (772) 778-3113

Other practice location 2

13000 US Highway 1 Ste 5
Sebastian, FL 32958-3773
Phone (772) 581-5881

Other practice location 3

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1700

Other practice location 4

1000 36th St
Vero Beach, FL 32960-4862
Phone (772) 567-4311

Other identifiers 2

IdentifierTypeStateIssuer
121024600MedicaidFL
02550362MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040813000317 NY Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 2062485543 Reassigns benefits to 1 organization
I20240131000033 FL Practitioner - Orthopedic Surgery 2062485543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Slocum Dickson Medical Group PLLCGroup PAC ID 5799778510, 79 clinicians

Practice addresses (Care Compare)

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165012FLMDOrthopaedic Surgery Physician
225344NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Feb 1, 2024 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Slocum Dickson Medical Group PLLC CurrentSince Sep 1, 2004 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

13000 US Highway 1
Ste 5
Sebastian, FL 32958
Phone (772) 581-5881

1715 37th Pl
Ste 101
Vero Beach, FL 32960
Phone (321) 725-2225

1729 Burrstone Rd
New Hartford, NY 13413
Phone (315) 798-1500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jsullivan11997@mvhealthsystem.direct-ci.com

Organizations & group practices 6

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 4

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1942294095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 37TH PL STE 202",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604818",
            "telephone_number": "772-226-8224",
            "fax_number": "772-226-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 37TH PL STE 202",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604818",
            "telephone_number": "315-790-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 36th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606599",
            "country_code": "US",
            "telephone_number": "772-778-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13000 US Highway 1 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583773",
            "country_code": "US",
            "telephone_number": "772-581-5881",
            "fax_number": "772-581-5883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1729 Burrstone Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131001",
            "country_code": "US",
            "telephone_number": "315-798-1700",
            "fax_number": "315-798-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 36th St",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604862",
            "country_code": "US",
            "telephone_number": "772-567-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME165012",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "225344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121024600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02550362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.