Kevin Sullivan

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

156166 Issued in MA

Practice address

313 Speen St
Orthopedics New England
Natick, MA 01760-1538

Phone

(508) 655-0471

Fax

(508) 650-3547

NPI assigned

Aug 15, 2005

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Physical Medicine and Rehabilitation

Education

New York Medical College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orthopedics New England IncGroup PAC ID 6800976770, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
• Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
• Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sullivan.kevinp.mwortho@direct.partners.masshiway.net

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.

• Orthopedics New England, Inc

  • Orthopaedic Surgery Physician
  • Natick, MA
  • NPI 1497835839
  Medicare reassignment Care Compare group NPD
• Orthopedics New England, Inc

  • Orthopaedic Surgery Physician
  • Hopkinton, MA
  • NPI 1578101572

  Pain Medicine

  NPD
• Orthopedics New England 3, LLC

  • Orthopaedic Surgery Physician
  • Natick, MA
  • NPI 1720557507
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Spaulding Rehabilitation Hospital Corporation

  dba Spaulding Rehabilitation Hospital - Boston

  • Rehabilitation Hospital
  • Charlestown, MA
  • NPI 1780600825

  Inpatient rehabilitation facility

  Care Compare affiliation
• Umass Memorial Health-Milford Regional Medical Center Inc

  • General Acute Care Hospital
  • Milford, MA
  • NPI 1477527497
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 9 Inc

  dba MetroWest Medical Center

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1952303463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SPEEN ST",
            "address_2": "ORTHOPEDICS NEW ENGLAND",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601538",
            "telephone_number": "508-655-0471",
            "fax_number": "508-650-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SPEEN ST",
            "address_2": "ORTHOPEDICS NEW ENGLAND",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601538",
            "telephone_number": "508-655-0471",
            "fax_number": "508-650-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "156166",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MA",
            "license": "156166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146447",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Stranger
• Allyson Strassberger, LICSW
• Suburban Cardiology & Internal Medicine P.C.
• Suburban Cardiology and Internal Medicine PC
• Genevieve Sullivan
• Joann Suna, M.D.
• James R Sunners, DDS
• Charlotte Suttle, FNP
• Ruvarashe Swiswa, LABA, LCSW
• Christine Gaviola Sy, DMD

• Physical Medicine & Rehabilitation Physician in Natick, MA
• Providers in Natick, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.

Verify at the official NPI Registry.