JOSEPH C III SULLIVAN (M.D.) – Diagnostic Radiology Physician, NPI 1043303548

JOSEPH C III SULLIVAN (M.D.) is a healthcare provider. based in Brooksville, Florida. specializing in DIAGNOSTIC RADIOLOGY, NEUROLOGY, NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. 052837 (GA). The NPI Number for JOSEPH C III SULLIVAN (M.D.) is 1043303548

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH C III SULLIVAN (M.D.)
NPI
1043303548
Phone
(904) 236-5884
Address
11375 CORTEZ BLVD
Enumeration Date
2 October 2006
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514600326
Graduation Year
1998 (28 years ago)
PAC ID
9436135910
Group Practice PAC ID
7810914348
Professional Enrollment ID
I20070728000032
Address ID
AL365321812FA750XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for JOSEPH C III SULLIVAN (M.D.)

  • 11375 CORTEZ BLVD

    BROOKSVILLE, FL 346135409

    Phone: (904) 236-5884

    Fax: (904) 346-4334

    Type: Location

  • 7600, Wolf River Boulevard, Germantown, Shelby County, Tennessee, 38138, United States

    STE 200

    GERMANTOWN, TN 381381784

    Phone: (901) 747-1000

    Fax: (901) 747-1001

    Type: Location

  • Memphis Post Office, Galena Street, Memphis, Saunders County, Nebraska, 68042, United States

    MEMPHIS, TN 381015083

    Phone: (901) 383-9478

    Fax: (901) 383-8985

    Type: Mailing

  • PO BOX 116700

    ATLANTA, GA 303686700

    Phone: (904) 236-5884

    Fax: (904) 346-4334

    Type: Mailing

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: 2017-09-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070728000032IDiagnostic RadiologyALTBD
I20161221001958IDiagnostic RadiologyTNTBD
I20170918003605IDiagnostic RadiologyARTBD

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
72148Mri scan of lower spinal canal without contrast242241$0
72141Mri scan of upper spinal canal without contrast163163$0
70551Mri scan of brain without contrast111111$0
70553Mri scan of brain before and after contrast9796$0
72146Mri scan of middle spinal canal without contrast5353$0
View full utilization report →

Insurance plans in this area (ZIP 34613)

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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: 7810914348View full group profile
NameSpecialtyState
Diagnostic RadiologyAL
Diagnostic Radiology, Radiation OncologyAL
-AL
Diagnostic RadiologyAL
-AL
Diagnostic RadiologyAL
-AL
-AL
Diagnostic Radiology, Nuclear MedicineAL
Diagnostic RadiologyAL

Reviews

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Frequently asked questions

What number should I use to identify JOSEPH C III SULLIVAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1043303548 for JOSEPH C III SULLIVAN (M.D.).
Is JOSEPH C III SULLIVAN (M.D.)'s NPI status active today?
Active status means JOSEPH C III SULLIVAN (M.D.)'s NPI record is not deactivated in the public file.
What type of care does JOSEPH C III SULLIVAN (M.D.) provide?
JOSEPH C III SULLIVAN (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JOSEPH C III SULLIVAN (M.D.) in Brooksville, Florida?
For routing, start with Brooksville, Florida for JOSEPH C III SULLIVAN (M.D.), then verify phone and hours locally.
Who maintains JOSEPH C III SULLIVAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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