Active NPI
Martin J Sullivan, MD
- Cardiovascular Disease Physician
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 29044
- Practice address
- 50 Hospital Dr
Suite 3B2
Hendersonville, NC 28792-5248 - Phone
- (828) 687-0088
- Fax
- (828) 684-6693
- NPI assigned
- Sep 1, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 45065 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 2003000087 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 29044 | NC | Primary |
Addresses
Primary practice location
50 Hospital Dr
Suite 3B2
Hendersonville, NC 28792-5248
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616
Other practice location 1
127 Wamsutta Mill Rd Ste D
Morganton, NC 28655-5523
Phone (828) 430-3511
Other practice location 2
2962 Sweetleaf Ln
Johns Island, SC 29455-6710
Phone (828) 430-3511
Other practice location 3
709 N Justice St Ste A
Hendersonville, NC 28791-3455
Phone (828) 697-7377
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514006 | Medicaid | TN | |
| 203715016 | Medicaid | MO | |
| 4230692 | Other | TN | BCBST |
| 10001627200 | Other | MO | COMMUNITY HEALTH PLAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msullivan288519@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Ohio State University College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Wamsutta Mill Rd
Suite C
Morganton, NC 28655-5522
Phone (828) 430-3511
4 Carriage LN
Suite 108
Charleston, SC 29407-6048
Phone (828) 430-3511
709 N Justice St
Suite a
Hendersonville, NC 28791-3455
Phone (828) 693-8019
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000087 | MO | MD | Clinical Social Worker |
| 12826 | NC | MD | General Practice Dentistry |
| 2003000087 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonocare, LLC | Current | Accepting new patients | |
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Imaging Partners PLLC | Current | Accepting new patients | |
| Direct Diagnostic Services, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2775 Hendersonville Rd
Ste 210
Arden, NC 28704
Phone (828) 435-8280
21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394
709 N Justice St
Ste A
Hendersonville, NC 28791
Phone (828) 694-7630
800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000
127 Wamsutta Mill Rd
Ste D
Morganton, NC 28655
Phone 8284303511 ext. 104
125 Wamsutta Mill Rd
Ste B
Morganton, NC 28655
125 Wamsutta Mill Rd
Ste C
Morganton, NC 28655
123 Wamsutta Mill Rd
Ste C
Morganton, NC 28655
Phone (828) 430-3051
45 Hendersonville Hwy
Ste B
Pisgah Forest, NC 28768
Phone (828) 435-8080
4 Carriage Ln
Ste 108
Charleston, SC 29407
Phone (828) 396-5634
Organizations & group practices 6
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.
-
dba Pardee Medical Associates
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
-
dba Pardee Rx-Fleming
- Community/Retail Pharmacy
- Hendersonville, NC
- NPI 1013694165
-
- Physiological Laboratory
- Morganton, NC
- NPI 1164527149
-
- Physiological Laboratory
- Charleston, SC
- NPI 1801040274
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 44
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Hendersonville
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
dba AdventHealth
- Family Medicine Physician
- Hendersonville, NC
- NPI 1477995124
Hospital
-
dba Margaret R. Pardee Memorial Hospital
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
-
dba Mission Hospital
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
-
dba Prisma Health Wonder Center
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
dba Prisma Health Cancer Inst-Faris
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
dba Prisma Health Center for Family Medicine
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
dba Prisma Health OP Radiology
- Radiology Clinic/Center
- Greenville, SC
- NPI 1235685330
Hospital
-
dba Prisma Health Sleep Disorders Center-Verdae
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
dba Prisma Health Diabetes Self Care Mgt Prog
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1285180307
Hospital
-
dba Prisma Health Womens/Childrens Program
- Clinic/Center
- Greenville, SC
- NPI 1316492218
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1992817126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HOSPITAL DR",
"address_2": "SUITE 3B2",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925248",
"telephone_number": "828-687-0088",
"fax_number": "828-684-6693"
}
],
"practiceLocations": [
{
"address_1": "127 Wamsutta Mill Rd Ste D",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286555523",
"country_code": "US",
"telephone_number": "828-430-3511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2962 Sweetleaf Ln",
"address_purpose": "LOCATION",
"city": "Johns Island",
"state": "SC",
"postal_code": "294556710",
"country_code": "US",
"telephone_number": "828-430-3511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "709 N Justice St Ste A",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287913455",
"country_code": "US",
"telephone_number": "828-697-7377",
"fax_number": "828-697-7380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "MARTIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "45065",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2003000087",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "29044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1514006",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203715016",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4230692",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001627200",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msullivan288519@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "709 N Justice St Ste A",
"city": "Hendersonville",
"state": "NC",
"country_code": "US",
"postal_code": "287913455",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.