THOMAS Y SULLIVAN (MD) – Pulmonary Disease Physician, NPI 1669474524

THOMAS Y SULLIVAN (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 01025460A (IN). The NPI Number for THOMAS Y SULLIVAN (MD) is 1669474524

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS Y SULLIVAN (MD)
NPI
1669474524
Phone
Not provided
Address
250 N SHADELAND AVE
Enumeration Date
11 August 2005
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8884843258
Graduation Year
1974 (52 years ago)
PAC ID
8022914084
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20100610000579
Address ID
IN462021239IN1701XBLVD400

Contacts

Secure Messaging
tsullivan@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

466 PULMONARY DISEASE in IN

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Provider Addresses for THOMAS Y SULLIVAN (MD)

  • North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 714, North Senate Avenue, Fayette Street Conservation Area, Indianapolis, Marion, Indiana, 46202, United States

    STE 120

    INDIANAPOLIS, IN 462023297

    Phone: (317) 963-0555

    Fax: (317) 963-5605

    Type: Location

  • 1701 N Senate Blvd

    Indianapolis, IN 462021239

    Phone: (888) 484-3258

    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: 2010-06-10

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
I20100610000579IPulmonary DiseaseINTBD

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
94010Test to measure expiratory airflow and volume793347$0
94729Test to examine how well the lungs exchange gases333286$0
94060Test to measure expiratory airflow and volume changes before and after medication administration168164$0
94726Test to determine lung volumes using sensors104103$0
94727Test to determine lung volumes using gas dilution or washout10099$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

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Provider's Procedures

THOMAS Y SULLIVAN (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEIN94727Determination of lung volumes using gas dilution or washout5453

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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

Is THOMAS Y SULLIVAN (MD) listed with a National Provider Identifier?
Yes — THOMAS Y SULLIVAN (MD) has NPI 1669474524 on file in the registry.
Is THOMAS Y SULLIVAN (MD) shown as active in public data?
Registry records indicate THOMAS Y SULLIVAN (MD) maintains an active NPI.
What expertise is attributed to THOMAS Y SULLIVAN (MD)?
THOMAS Y SULLIVAN (MD)'s specialty line reads Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with THOMAS Y SULLIVAN (MD)?
Directory geography for THOMAS Y SULLIVAN (MD) centers on Indianapolis, Indiana.
When was this NPI issued?
Enumeration for THOMAS Y SULLIVAN (MD) is noted as August 11, 2005 where the registry provides it.

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