KEVIN L SULLIVAN (MD) – Ophthalmology Physician, NPI 1245390897

KEVIN L SULLIVAN (MD) is a healthcare provider. based in Niles, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036066244 (IL). The NPI Number for KEVIN L SULLIVAN (MD) is 1245390897

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN L SULLIVAN (MD)
NPI
1245390897
Phone
(773) 993-0279
Address
7421 N MILWAUKEE AVE
Enumeration Date
12 December 2006
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8477768900
Graduation Year
1979 (47 years ago)
PAC ID
4688652704
Group Practice PAC ID
8527046648
Professional Enrollment ID
I20050503000753
Address ID
IL601921196HO1415XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for KEVIN L SULLIVAN (MD)

  • 7421 N MILWAUKEE AVE

    NILES, IL 607143707

    Phone: (773) 993-0279

    Type: Mailing

  • 7447, West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States

    SUITE #300

    CHICAGO, IL 606313745

    Phone: (773) 775-0811

    Fax: (773) 775-0818

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,630.

Total Amount is formed as General ($1,630) + Research ($0) + Ownership ($0) = $1,630.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Carl Zeiss Meditec, Inc. ($1,250).

Total Amount

$1,630

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,630

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

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: 2005-05-03

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
I20050503000753IOphthalmologyILTBD

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
92014Established patient complete exam of visual system1,3861,365$0
92012Established patient problem focused exam of visual system511330$0
92250Photography of the retina318318$0
92134Imaging of retina301287$0
66984Removal of cataract with insertion of prosthetic lens198132$0
View full utilization report →

Insurance plans in this area (ZIP 60714)

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Provider's Procedures

KEVIN L SULLIVAN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92012Eye and medical examination for diagnosis and treatment, established patient406295
OPHTHALMOLOGYIL92083Measurement of field of vision during daylight conditions5958
OPHTHALMOLOGYIL92134Diagnostic imaging of retina123108

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: 8527046648View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Is KEVIN L SULLIVAN (MD) listed with a National Provider Identifier?
Yes — KEVIN L SULLIVAN (MD) has NPI 1245390897 on file in the registry.
Would KEVIN L SULLIVAN (MD) appear as active to a payer?
You can treat KEVIN L SULLIVAN (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KEVIN L SULLIVAN (MD)'s focus?
For KEVIN L SULLIVAN (MD), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN L SULLIVAN (MD) associated with Niles?
Public fields place KEVIN L SULLIVAN (MD) around Niles, Illinois. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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