DANIEL P SULLIVAN (MD) – Otolaryngology Physician, NPI 1255317988

DANIEL P SULLIVAN (MD) is a healthcare provider. based in Rockledge, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. ME84610 (FL). The NPI Number for DANIEL P SULLIVAN (MD) is 1255317988

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL P SULLIVAN (MD)
NPI
1255317988
Phone
(321) 674-9094
Address
3300 S FISKE BLVD
Enumeration Date
15 December 2005
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7276171777
Graduation Year
1997 (29 years ago)
PAC ID
0840211512
Group Practice PAC ID
3173965993
Professional Enrollment ID
I20051208000889
Address ID
FL329584879SE989XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

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Provider Addresses for DANIEL P SULLIVAN (MD)

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 674-9094

    Type: Mailing

  • Health First Medical Group, 1223, Gateway Drive, Melbourne, Brevard County, Florida, 32901, United States

    SUITE 1G

    MELBOURNE, FL 329012607

    Phone: (321) 674-9094

    Fax: (321) 674-9289

    Type: Location

  • 930 S HARBOR CITY BLVD STE 200

    MELBOURNE, FL 329011964

    Phone: (321) 674-9094

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GENZYME CORPORATION ($25).

Total Amount

$105

General + Research + Ownership

Payments

6

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2005-12-08

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
I20051208000889IOtolaryngologyFLTBD

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
95004Test for allergy using allergenic extract5,314125$0
95024Test for allergy using allergenic extract injected into skin4,662122$0
95165Professional service for preparation and provision of 1 or more antigens3,016161$0
95117Professional service for multiple injections of allergen1,086142$0
99213Established patient office or other outpatient visit, 20-29 minutes858553$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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Provider's Procedures

DANIEL P SULLIVAN (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYFL92540Observation, testing, and recording of abnormal eye movement4242
OTOLARYNGOLOGYFL92567Eardrum testing using ear probe256187
OTOLARYNGOLOGYFL95004Injection of allergenic extracts into skin, accessed through the skin331579

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: 3173965993View full group profile
NameSpecialtyState
E N D O C R I N O L O G YFL
Physical Therapist In Private PracticeIL
N E U R O L O G YFL
Family PracticeFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Internal MedicineFL
Nurse PractitionerFL
Certified Nurse Midwife (Cnm)FL

Reviews

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Frequently asked questions

What unique ID ties claims to DANIEL P SULLIVAN (MD)?
NPI 1255317988 is assigned to DANIEL P SULLIVAN (MD) under the national enumeration system.
Is DANIEL P SULLIVAN (MD) active in the national directory?
DANIEL P SULLIVAN (MD)'s public NPI profile is in an active state.
Does DANIEL P SULLIVAN (MD) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for DANIEL P SULLIVAN (MD). Clinical services aligned with this taxonomy classification.
Where is DANIEL P SULLIVAN (MD)'s primary listing?
We display Rockledge, Florida because that is what the record indicates for DANIEL P SULLIVAN (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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