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DR. MICHAEL SULLIVAN DPM NPI 1134290646


NPI Information

NPI: 1134290646
Provider Name: DR. MICHAEL SULLIVAN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1700 1ST AVE NE
SUITE 210
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 363-3543
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DR. Michael Sullivan, DPM is a foot and ankle surgery podiatrist in Cedar Rapids, IA with 24 years of experience. DR. Michael Sullivan, DPM NPI is 1134290646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1700 1ST AVE NE
SUITE 210
CEDAR RAPIDS, IA
ZIP 52402-433
Phone: (319) 363-3543

The NPI 1134290646 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery2003000653MISSOURINo
2213ES0103XPodiatristFoot & Ankle Surgery00832IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1308753201MEDICAIDMISSOURI
2255363230MEDICARE PINMISSOURI
3U95702MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.