Individual provider Active NPI

John Patrick Sullivan, M.D.

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1952368557
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39464 Issued in KY
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64098940MedicaidKY
131545700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TX, NY, MI, UT, MO, IL, TN9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20140818001285 GA Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 8 organizations
I20180711001226 FL Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 20 organizations
I20191223001517 TX Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 1 organization
I20201104002264 NY Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 2 organizations
I20210105002363 MI Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 1 organization
I20230313000005 UT Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 11 organizations
I20230915002196 MO Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 1 organization
I20231023000568 IL Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 1 organization
I20231117000862 TN Practitioner - Diagnostic Radiology 1557306198 Reassigns benefits to 1 organization

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
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians

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

LicenseStateTypeSpecialty
39464KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Radiology Associates Inc CurrentSince Apr 1, 2026 Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2023 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jul 17, 2025 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 8, 2020 Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2023 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Sep 1, 2017 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Oct 1, 2017 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Oct 9, 2023 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 18, 2017 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Jul 18, 2017 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Dec 9, 2017 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jun 30, 2014 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology PastSince Jan 21, 2022 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 PastSince Sep 1, 2025 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

  • FHIR API: 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.

View all 39

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.