DR. HENRY JAMES SULLIVAN (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1831157999
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. HENRY JAMES SULLIVAN (M.D.)
Bormet Drive, Mokena, Will County, Illinois, 60448, United States
MOKENA, IL 604488399
Phone: (708) 346-4044
Fax: (708) 346-3287
Type: Mailing
West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
OAK LAWN, IL 604532660
Phone: (708) 346-4040
Fax: (708) 346-3287
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.
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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: 2004-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040116000656 | I | Cardiac Surgery | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 27 | 27 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60448)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Thoracic Surgery, Cardiac Surgery | IL | |
| Thoracic Surgery, Cardiac Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Cardiac Surgery, Thoracic Surgery | NC | |
| Certified Clinical Nurse Specialist (Cns) | IL |
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