CRAIG P SULLIVAN DPM NPI 1700881182

NPI Information

  • NPI: 1700881182
  • Provider Name: CRAIG P SULLIVAN, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1830 STATE HIGHWAY 9
    DECORAH, IA
    ZIP 52101
  • Phone: (563) 382-2931

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NPI Details

Craig P Sullivan, DPM is a primary podiatric medicine podiatrist in Decorah, IA with 39 years of experience. Craig P Sullivan, DPM NPI is 1700881182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1987

The provider's business location address is:

1830 STATE HIGHWAY 9
DECORAH, IA
ZIP 52101-301
Phone: (563) 382-2931

The NPI 1700881182 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.

  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (HCPCS:G2211)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (HCPCS:99203)
  • Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more (HCPCS:99212)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more (HCPCS:99202)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (HCPCS:99214)

The enumeration date for this NPI number is 6/14/2005 and was last updated on 6/4/2015.

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
1213EP1101XPodiatristPrimary Podiatric Medicine628WISCONSINNo
2213EP1101XPodiatristPrimary Podiatric Medicine468IOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143212300MEDICAIDWISCONSIN
2T01479MEDICARE UPIN
3I14445MEDICARE PINIOWA
40002MEDICARE PINWISCONSIN

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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