DR. MICHAEL BLADE SULLIVAN DO NPI 1295293835

NPI Information

  • NPI: 1295293835
  • Provider Name: DR. MICHAEL BLADE SULLIVAN, DO
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3601 SW 160TH AVE STE 250
    MIRAMAR, FL
    ZIP 33027
  • Phone: (954) 399-4673

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NPI Details

DR. Michael Blade Sullivan, DO is an internal medicine in Miramar, FL with 7 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Michael Blade Sullivan, DO NPI is 1295293835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2019

The provider's business location address is:

3601 SW 160TH AVE STE 250
MIRAMAR, FL
ZIP 33027-314
Phone: (954) 399-4673

The NPI 1295293835 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.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)

The enumeration date for this NPI number is 3/2/2019 and was last updated on 2/22/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramFLORIDANo
2207R00000XInternal MedicineOS18349FLORIDAYes

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: 11/21/2025

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