DANIEL PATRICK SULLIVAN (MD) – Interventional Cardiology Physician, NPI 1104872944

DANIEL PATRICK SULLIVAN (MD) is a healthcare provider. based in Oakbrook terrace, Illinois. specializing in Interventional Cardiology Physician. They hold the professional credentials MD. They hold a License No. 036069322 (IL). The NPI Number for DANIEL PATRICK SULLIVAN (MD) is 1104872944

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL PATRICK SULLIVAN (MD)
NPI
1104872944
Phone
(630) 873-7305
Address
1901 S MEYERS RD
Enumeration Date
25 May 2006
Last Update Date
3 November 2011

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
8474591160
Graduation Year
1983 (43 years ago)
PAC ID
1658283205
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20040601000346
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DANIEL PATRICK SULLIVAN (MD)

  • South Meyers Road, Oakbrook Terrace, DuPage County, Illinois, 60148, United States

    SUITE 350

    OAKBROOK TERRACE, IL 601815243

    Phone: (630) 873-7305

    Fax: (630) 416-3189

    Type: Mailing

  • 133, East Brush Hill Road, Elmhurst, DuPage County, Illinois, 60126, United States

    SUITE 202

    ELMHURST, IL 601265658

    Phone: (630) 782-4050

    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: 2004-06-01

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
I20040601000346ICardiovascular Disease (Cardiology)ILTBD

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

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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 60181)

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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: 7810800935View full group profile

Reviews

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Frequently asked questions

What is DANIEL PATRICK SULLIVAN (MD)'s NPI number?
DANIEL PATRICK SULLIVAN (MD)'s NPI is 1104872944 — the number used across U.S. healthcare to identify this provider.
Is DANIEL PATRICK SULLIVAN (MD) still an active registrant?
DANIEL PATRICK SULLIVAN (MD) carries an active NPI according to the public dataset.
What area of care is associated with DANIEL PATRICK SULLIVAN (MD)?
DANIEL PATRICK SULLIVAN (MD)'s record emphasizes Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is DANIEL PATRICK SULLIVAN (MD) associated with Oakbrook Terrace?
Public fields place DANIEL PATRICK SULLIVAN (MD) around Oakbrook Terrace, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DANIEL PATRICK SULLIVAN (MD) is noted as May 25, 2006 where the registry provides it.

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