Individual provider Active NPI

Martin J Sullivan, MD

  • Cardiovascular Disease Physician
  • Hendersonville, NC
National Provider Identifier
1992817126
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
29044 Issued in NC
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

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1514006MedicaidTN
203715016MedicaidMO
4230692OtherTNBCBST
10001627200OtherMOCOMMUNITY HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msullivan288519@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090515000211 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981685617 Reassigns benefits to 2 organizations
I20170607000895 SC Practitioner - Cardiovascular Disease (Cardiology) 4981685617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Ohio State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Partners PLLCGroup PAC ID 1254654809, 9 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000087MOMDClinical Social Worker
12826NCMDGeneral Practice Dentistry
2003000087MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonocare, LLC CurrentSince Mar 5, 2016 Accepting new patients
Henderson County Hospital Corporation CurrentSince Apr 1, 2017 Accepting new patients
Henderson County Hospital Corporation CurrentSince Apr 1, 2017 Accepting new patients
Imaging Partners PLLC CurrentSince Mar 5, 2016 Accepting new patients
Direct Diagnostic Services, LLC CurrentSince May 9, 2021 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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

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

Verify at the official NPI Registry.