Active NPI
John P Sullivan, M.D.
- Orthopaedic Surgery Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME165012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121024600 | Medicaid | FL | |
| 02550362 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1500
Hospital & facility affiliations
- Activa Home Health
- Visiting Nurse Association of Indian River County Inc
- Orlando Health Sebastian River Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 20 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME165012 | FL | MD | Orthopaedic Surgery Physician |
| 225344 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Steward Medical Group, Inc. | Current | Accepting new patients | |
| Slocum Dickson Medical Group PLLC | Current | 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
- 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.
-
- Clinic/Center
- New Hartford, NY
- NPI 1285625996
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Orthopaedic Surgery
-
- Urology Physician
- Cocoa, FL
- NPI 1104367630
-
dba Stewart Medical Group
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Orlando Health Sebastian River Hospital
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
-
- Home Health Agency
- Vero Beach, FL
- NPI 1306843768
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
- Subsidium Health Inc
- Substance Abuse Council of Indian River County (Substance Awareness Center of Indian River County)
- John S Suen, MD
- Jean Hee Suh, M.D.
- Sullivan Orthopedics PLLC
- Nicole Sullivan
- Mark Charles Sultzman, PA-C, PHARMD
- Jacqueline Melissa Sumner Davis, M.A., CCC-SLP
- Suncoast Mental Health Center, Inc.
- Suncoast Mental Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.