Active NPI
Robert Sullivan, M.D.
- Nephrology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME103826
- Practice address
- 3885 Oakwater Cir
Orlando, FL 32806-6257 - Phone
- (407) 851-5600
- Fax
- (407) 438-0507
- NPI assigned
- Jan 23, 2007
- Last updated
- Sep 30, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN7872 | FL | |
| Nephrology Physician | 207RN0300X | ME103826 | FL | Primary |
Addresses
Primary practice location
3885 Oakwater Cir
Orlando, FL 32806-6257
Mailing address
3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 851-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00634 | Other | FL | NEPHROLOGY ASSOCIATES OF CENTRAL FLORIDA PTAN |
| 00501 | Other | FL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 816-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN7872 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Central Florida, P.a. | Nephrology | Current | Accepting new patients |
| Central Florida Kidney Specialists Inc | Nephrology | Current | Accepting new patients |
Locations
337 S North Lake Blvd
Ste 1002
Altamonte Springs, FL 32701
Phone (407) 260-1679
1511 Sligh Blvd
Unit A
Orlando, FL 32806
Phone (407) 317-9000
2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693
3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700
1850 Lee Rd
Ste 200
Winter Park, FL 32789
Phone (407) 622-6121
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- robert.m.sullivan@direct.davitaphysiciansolutions.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Orlando, FL
- NPI 1346954138
-
- Nephrology Physician
- Longwood, FL
- NPI 1346297173
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Orlando East Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
- NPI 1962470468
Dialysis facility
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1952455909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3885 OAKWATER CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066257",
"telephone_number": "407-851-5600",
"fax_number": "407-438-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 OAKWATER CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066257",
"telephone_number": "407-851-5600",
"fax_number": "407-438-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN7872",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME103826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEPHROLOGY ASSOCIATES OF CENTRAL FLORIDA PTAN",
"identifier": "00634",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "00501",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.