Active NPI
John Patrick Sullivan, M.D.
- Diagnostic Radiology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 39464
- Practice address
- 8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822 - Phone
- (239) 331-5566
- Fax
- (239) 437-7499
- NPI assigned
- Apr 27, 2006
- Last updated
- Oct 9, 2026
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 39464 | KY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME133954 | FL |
Addresses
Primary practice location
8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822
Mailing address
1218 S Broadway
Suite 310
Lexington, KY 40504-2759
Phone (859) 219-0542
Other practice location 1
1218 S Broadway
Suite 310
Lexington, KY 40504-2759
Phone (859) 219-0542 ext. 222
Other practice location 2
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64098940 | Medicaid | KY | |
| 131545700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, TX, NY, MI, UT, MO, IL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Satellite Beach, FL 32937
Phone (615) 312-0600
Weston, FL 33331
Phone (904) 399-5550
Bradenton, FL 34211
Phone (866) 722-1655
Oxford, FL 34484
Phone (832) 355-4112
1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787
1 Hurley PLZ
Flint, MI 48503-5902
13521 Saw Palm Creek TRL
Bradenton, FL 34211-2611
Phone (219) 767-6320
13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550
15430 Little Stone Way
Milton, GA 30004-6900
Phone (505) 225-8476
160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685
1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4587
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
22677 E Snowbird Dr
Helper, UT 84526
Phone (888) 501-6087
22677 E Snowbird Dr
Spanish Fork, UT 84660
Phone (404) 851-6577
2802 Northpointe LN
Tampa, FL 33611-5340
Phone (708) 915-5671
400 E Bay St
Suite 105
Jacksonville, FL 32202-2941
Phone (615) 851-6033
5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000
658 Riviera Dr
Tampa, FL 33606-3810
Phone (708) 915-5671
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (904) 399-5550
848 Brickell Key Dr
Apt 3502
Miami, FL 33131-3728
Phone (702) 271-4107
8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39464 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Radiology Associates Inc | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Coastal Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Diagnostic Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| St. Francis Cardiac Prevention Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Eagle Partners, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Diagnostic Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Past | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| CHS Physician Partners, P.C | Past | Accepting new patients | |
| Millennium Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 88)
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000
2131 Comer Ave
Columbus, GA 31904
Phone (706) 323-7622
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1937 Momentum Pl
Chicago, IL 60689
75 Remittance Dr
Dept 1013
Chicago, IL 60675
75 Remittance Dr
Dept 3268
Chicago, IL 60675
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
71 W 156th St
Ste 110
Harvey, IL 60426
Phone (708) 915-5598
1005 Broadway St
Quincy, IL 62301
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
295 Main St
Calhoun, KY 42327
Phone (270) 273-9310
140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780
107 E Main St
Earlington, KY 42410
Phone (270) 383-2521
44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150
105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 39
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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
UT
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Diagnostic Radiology Physician
- Marquette, MI
- NPI 1164943007
FL, GA, UT
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
FL, GA, UT
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
FL, GA
-
dba Mid-State Radiology
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
FL, UT
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carlsbad Medical Center - Rehab
- Rehabilitation Hospital Unit
- Carlsbad, NM
- NPI 1114949781
-
dba Carlsbad Medical Center
- General Acute Care Hospital
- Carlsbad, NM
- NPI 1790722346
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1952368557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 S BROADWAY",
"address_2": "SUITE 310",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042759",
"telephone_number": "859-219-0542",
"fax_number": "859-219-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8791 CONFERENCE DR STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339195822",
"telephone_number": "239-331-5566",
"fax_number": "239-437-7499"
}
],
"practiceLocations": [
{
"address_1": "1218 S BROADWAY",
"address_2": "SUITE 310",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405042759",
"country_code": "US",
"telephone_number": "859-219-0542 x222",
"fax_number": "859-219-9433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 W Baraga Ave",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498554550",
"country_code": "US",
"telephone_number": "906-449-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JOHN",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "39464",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME133954",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64098940",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131545700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.