Suzanne E. Sullivan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0062242 Issued in MD

Practice address

2001 Medical Pkwy
Annapolis, MD 21401-3280

Phone

(443) 481-1000

NPI assigned

Jul 26, 2005

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Luminis Health Medical Group, LLC

  dba Luminis Health Maternal and Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205
  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  dba OB/GYN Hospitalists

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
  • NPI 1841519741
  NPD
• Anne Arundel Medical Center Inc

  dba AAMC Adult Hospitalists

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1285601369
  NPD (past)
• Anne Arundel Medical Center Inc

  dba Intensivists

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1528036290
  NPD (past)
• Anne Arundel Medical Center Inc

  dba Anne Arundel Medical Center Surgical Hospitalists

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1679541460
  NPD (past)
• Marin Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Greenbrae, CA
  • NPI 1023041753
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1992705578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64916",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644916",
            "telephone_number": "410-216-6481",
            "fax_number": "410-280-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013280",
            "telephone_number": "443-481-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SUZANNE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0026",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00201779",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "64441701",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7792782",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1223835",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrie L Sullivan, RN CFNP MSN
• Lisa Marie Sullivan, LMSW
• Lynn Sullivan, P.T.
• Ryan Shaun Sullivan, OD
• Susan Kathleen Sullivan, M.ED.
• Gwendolyn Renee Summers, M.ED., LGPC, NCC
• Leanne Summers, M.D.
• Summit Ambulatory Surgical Center, LLC (Annapolis ASC)
• Sundance Services Corp
• Sunray ABA MD LLC (Sunray ABA)

• Internal Medicine Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.