KEVIN BRIAN SULLIVAN (DO) – Emergency Medicine Physician, NPI 1194245662

KEVIN BRIAN SULLIVAN (DO) is a healthcare provider. based in San diego, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 1194245662 (CA). The NPI Number for KEVIN BRIAN SULLIVAN (DO) is 1194245662

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN BRIAN SULLIVAN (DO)
NPI
1194245662
Phone
Not provided
Address
34800 BOB WILSON DR
Enumeration Date
26 June 2017
Last Update Date
6 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607248411
Graduation Year
2017 (9 years ago)
PAC ID
5799188652
Group Practice PAC ID
0446545354
Professional Enrollment ID
I20210729002133
Address ID
CA920564506OC4002XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Loading map...

Provider Addresses for KEVIN BRIAN SULLIVAN (DO)

  • Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States

    SAN DIEGO, CA 921341098

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210729002133IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making161156$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only149134$0
99284Emergency department visit with moderate level of medical decision making4444$0
93308Ultrasound of heart, follow-up2121$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 92134)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446545354View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for KEVIN BRIAN SULLIVAN (DO)?
The registry entry for KEVIN BRIAN SULLIVAN (DO) shows NPI 1194245662.
Quick check: is KEVIN BRIAN SULLIVAN (DO) active?
Public NPPES data shows KEVIN BRIAN SULLIVAN (DO) with an active NPI status right now.
What services align with KEVIN BRIAN SULLIVAN (DO)'s listing?
KEVIN BRIAN SULLIVAN (DO)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN BRIAN SULLIVAN (DO) tied to San Diego, California?
If you are local to San Diego, California, KEVIN BRIAN SULLIVAN (DO) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

402, West Broadway, Columbia, Banker's Hill, San Diego, San Diego County, California, 92101, United States
NPI: 1013915628

DR. JOHN W LOVE (M.D.)

Emergency Medicine Physician
Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States
NPI: 1093715617

DR. ERIC R LOVELL (M.D.)

Emergency Medicine Physician
Jack in the Box, Encinitas Boulevard, Encinitas, San Diego County, California, 92024, United States
NPI: 1346240967

GEORGE R BAEHR (M.D.)

Emergency Medicine Physician
10790, Rancho Bernardo Road, San Diego County, California, 92127, United States
NPI: 1083615512

MRS. SUSAN ELIZABETH MCKIM (PA-C)

Medical Physician Assistant
10170, Sorrento Valley Road, San Diego, San Diego County, California, 92121, United States
NPI: 1003817578

KHAN G HA (M.D.)

Emergency Medicine Physician
4th Avenue, Otay, Chula Vista, San Diego County, California, 92154, United States
NPI: 1184625212

EMERGENCY CARE DYNAMICS INC

Emergency Medicine Physician
PO BOX 28247
NPI: 1710989793

MARK J TAMSEN (MD)

Emergency Medicine Physician
PO BOX 28247
NPI: 1346241452

DR. JACK J SPRINGER (M.D.)

Emergency Medicine Physician
5841, Stresemann Street, San Diego, San Diego County, California, 92122, United States
NPI: 1104828284