RASHAD JAMAR SULLIVAN (MD) – Orthopaedic Surgery Physician, NPI 1174962856

RASHAD JAMAR SULLIVAN (MD) is a healthcare provider. based in Temple terrace, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME145051 (FL). The NPI Number for RASHAD JAMAR SULLIVAN (MD) is 1174962856

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RASHAD JAMAR SULLIVAN (MD)
NPI
1174962856
Phone
(813) 978-9700
Address
13020 N TELECOM PKWY
Enumeration Date
17 June 2013
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31844183291329
Graduation Year
2013 (13 years ago)
PAC ID
0042511974
Group Practice PAC ID
6204892540
Professional Enrollment ID
I20250116001353
Address ID
LA713013615AL3444XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for RASHAD JAMAR SULLIVAN (MD)

  • 13020 N TELECOM PKWY

    TEMPLE TERRACE, FL 336370925

    Phone: (813) 978-9700

    Type: Mailing

  • 3444 MASONIC DRIVE

    ALEXANDRIA, LA 71301

    Phone: (318) 473-9556

    Fax: (318) 441-8339

    Type: Mailing

  • 700 8TH AVE W STE 101

    PALMETTO, FL 342214737

    Phone: (941) 776-4000

    Fax: (941) 845-4963

    Type: Mailing

  • 300 RIVERSIDE DR E STE 2010

    BRADENTON, FL 342081023

    Phone: (941) 405-1170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,150.

Total Amount is formed as General ($1,150) + Research ($0) + Ownership ($0) = $1,150.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($816).

Total Amount

$1,150

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-01-16

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
I20200630002616IOrthopedic SurgeryFLTBD
I20240820002161IOrthopedic SurgerySDTBD
I20250116001353IOrthopedic SurgeryLATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33637)

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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: 6204892540View full group profile
NameSpecialtyState
Orthopedic SurgeryLA
Orthopedic SurgeryLA
Orthopedic SurgeryLA
-LA
Occupational Therapist In Private PracticeLA
Orthopedic Surgery, Hand SurgeryTX
Physician AssistantLA
Physical Therapist In Private PracticeLA
Occupational Therapist In Private PracticeLA
-LA

Reviews

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Frequently asked questions

How do payers reference RASHAD JAMAR SULLIVAN (MD)?
For RASHAD JAMAR SULLIVAN (MD), use NPI 1174962856 as the unique 10-digit identifier.
Is there an active status for RASHAD JAMAR SULLIVAN (MD)?
For scheduling context, RASHAD JAMAR SULLIVAN (MD) is shown as active in the registry.
What kind of doctor is RASHAD JAMAR SULLIVAN (MD)?
RASHAD JAMAR SULLIVAN (MD) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with RASHAD JAMAR SULLIVAN (MD)?
Directory geography for RASHAD JAMAR SULLIVAN (MD) centers on Temple Terrace, Florida.
Does RASHAD JAMAR SULLIVAN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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