Provider Type Icon

DONALD RICHARD SULLIVAN MD NPI 1003019621


NPI Information

NPI: 1003019621
Provider Name: DONALD RICHARD SULLIVAN, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
3181 SW SAM JACKSON PARK RD
UHN67
PORTLAND, OR
ZIP 97239
Phone: (503) 494-6949
Get Directions

Donald Richard Sullivan, MD is a pulmonary disease internal medicine in Portland, OR with 17 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Donald Richard Sullivan, MD NPI is 1003019621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
UHN67
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-6949

The NPI 1003019621 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), Power Mobility Devices.

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.

  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Measurement of lung diffusing capacity (HCPCS:94729)

The enumeration date for this NPI number is 6/10/2007 and was last updated on 10/31/2013.


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
1207RC0200XInternal MedicineCritical Care MedicineMD151732OREGONNo
2207R00000XInternal MedicineMD151732OREGONNo
3207RP1001XInternal MedicinePulmonary DiseaseMD151732OREGONYes

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.