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NPI · 1255877643 · NPPES-sourced

Dr. Jordan Sullivan DPM

ActiveFoot & Ankle Surgery Podiatrist
NPI Number
1255877643
Type 1 · Individual
Taxonomy Code
213ES0103X
Contact
(402) 310-7374
License WI · 18096
Last Updated
About 9 years ago (Jan 2017)
Enumerated 2017-01-10
Primary practice addressWI · 53211-4508
2301 N Lake Dr, Podiatric Residency OfficeMilwaukee, WI 53211-4508
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About this NPIWhat this record shows.

NPI 1255877643 is registered to Dr. Jordan Sullivan DPM, a Foot & Ankle Surgery Podiatrist practising at 2301 N Lake Dr, Podiatric Residency Office in Milwaukee, Wisconsin. Foot & Ankle Surgery Podiatrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jordan Sullivan DPM has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2017-01-10
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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.

Practitioner

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 Dr. Jordan Sullivan DPM accepts. To confirm in-network status with your specific health plan, contact Dr. Jordan Sullivan DPM directly at (402) 310-7374.

Frequently asked

Yes. NPI 1255877643 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Foot & Ankle Surgery Podiatrist 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 (402) 310-7374.

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. Dr. Jordan Sullivan DPM is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy213ES0103X
Last updated2017-01
Enumerated2017-01-10
StatusActive
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