LEN SULLIVAN (PA) – Physician Assistant, NPI 1326198110
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for LEN SULLIVAN (PA)
PO BOX 5
SOMERS, CT 060710005
Phone:
Type: Mailing
RTE 75 AASF BLDGE 154
WINDSOR LOCKS, CT 06096
Phone: (860) 292-4711
Type: Location
Rte 75 AASF Bldge 154
Windsor Locks, CT 06096
Phone: (860) 292-4711
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
305 MALLARD LN
TAYLOR, TX 765741208
Phone: (512) 352-7611
Fax: (512) 352-2196
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2024-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111019000028 | I | Physician Assistant | CT | TBD |
| I20180201000811 | I | Physician Assistant | TX | TBD |
| I20240205002647 | I | Physician Assistant | NM | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| - | TX | |
| Family Practice | OK | |
| - | TX | |
| - | TX | |
| - | TX | |
| Colorectal Surgery (Proctology), General Surgery | TX | |
| - | OH | |
| - | TX | |
| - | TX |
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