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NPI · 1205263159 · NPPES-sourced

Sullivan Medical Clinic, LLC

ActiveAddiction Medicine (Internal Medicine) Physician
NPI Number
1205263159
Type 2 · Organisation
Contact
(414) 447-9890
Primary practice line
Last Updated
About 12 years ago (Oct 2013)
Enumerated 2013-10-07
Primary practice addressWI · 53210-2116
6040 W Lisbon Ave, Suite 200Milwaukee, WI 53210-2116
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About this NPIWhat this record shows.

NPI 1205263159 is registered to Sullivan Medical Clinic, LLC, a healthcare organisation classified as "Addiction Medicine (Internal Medicine) Physician" and located at 6040 W Lisbon Ave, Suite 200 in Milwaukee, Wisconsin. The organisation's authorised official is Gerald Sullivan. The organisation has been enumerated in the NPI registry since 2013.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2013-10-07
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Sullivan Medical Clinic, LLC accepts. To confirm in-network status with your specific health plan, contact Sullivan Medical Clinic, LLC directly at (414) 447-9890.

Frequently asked

Yes. NPI 1205263159 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Addiction Medicine (Internal Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (414) 447-9890.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Sullivan Medical Clinic, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207RA0401X
Last updated2013-10
Enumerated2013-10-07
StatusActive
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