Active NPI
Jennifer Lynn Sullivan, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35.154816
- Practice address
- 150 Taylor Station Rd Ste 200
Columbus, OH 43213-4470 - Phone
- (614) 627-1300
- Fax
- (614) 627-1304
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35.154816 | OH | Primary |
Addresses
Primary practice location
150 Taylor Station Rd Ste 200
Columbus, OH 43213-4470
Mailing address
150 Taylor Station Rd Ste 200
Columbus, OH 43213-4470
Phone (614) 627-1300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04125350 | Medicaid | MS | |
| 6021477 | Other | TN | BCBS |
| Q008106 | Medicaid | TN | |
| 205257001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, OH
- 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
- Thoracic Surgery
- Education
- University of Maryland School of Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2435 W Belvedere Ave
42 Sinai Surgery Associates
Baltimore, MD 21215-5224
Phone (410) 601-5547
Hospital & facility affiliations
- The Johns Hopkins Home Health Services, Inc
- Greater Baltimore Medical Center
- Mount Carmel East & West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.154816 | OH | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547
2435 W Belvedere Ave
Ste 42
Baltimore, MD 21215
Phone (410) 601-5547
2435 W Belvedere Ave
Ste 15
Baltimore, MD 21215
Phone (410) 601-4486
Interoperability endpoints
- jsullivan48856@gbmcdirect.org
Organizations & group practices 5
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.
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
-
- Vascular & Interventional Radiology Physician
- Baltimore, MD
- NPI 1568548329
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baltimore, MD
- NPI 1669551321
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1952504938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 TAYLOR STATION RD STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432134470",
"telephone_number": "614-627-1300",
"fax_number": "614-627-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TAYLOR STATION RD STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432134470",
"telephone_number": "614-627-1300",
"fax_number": "614-627-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OH",
"license": "35.154816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04125350",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6021477",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008106",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205257001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.