MARGUERITE SULLIVAN (M.D.) – Dermatology Physician, NPI 1811420532

MARGUERITE SULLIVAN (M.D.) is a healthcare provider. based in Beverly, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 276802 (MA). The NPI Number for MARGUERITE SULLIVAN (M.D.) is 1811420532

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARGUERITE SULLIVAN (M.D.)
NPI
1811420532
Phone
(978) 225-3376
Address
900 CUMMINGS CTR STE 311T
Enumeration Date
10 April 2017
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7814163500
Graduation Year
2017 (9 years ago)
PAC ID
1052662608
Group Practice PAC ID
6103845094
Professional Enrollment ID
I20210226002150
Address ID
MA024811737WE1XXXXSTXX302

Contacts

Secure Messaging
derm@mda.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:9State licenses:1Other names

744 DERMATOLOGY in MA

Provider Addresses for MARGUERITE SULLIVAN (M.D.)

  • 900 CUMMINGS CTR STE 311T

    BEVERLY, MA 019156260

    Phone: (978) 225-3376

    Fax: (978) 560-1245

    Type: Mailing

  • 1 WASHINGTON ST STE 401

    WELLESLEY HILLS, MA 024811737

    Phone: (781) 416-3500

    Fax: (781) 416-3505

    Type: Location

  • Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 021182526

    Phone: (937) 371-1085

    Type: Mailing

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: 2021-02-26

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
I20210226002150IDermatologyMATBD

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
17003Destruction of precancer skin growth, 2-14 growths2,395385$0
99213Established patient office or other outpatient visit, 20-29 minutes624504$0
17000Destruction of precancer skin growth, 1 growth609486$0
11102Biopsy of related skin growth, first growth377317$0
99214Established patient office or other outpatient visit, 30-39 minutes339279$0
View full utilization report →

Insurance plans in this area (ZIP 01915)

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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: 6103845094View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA

Reviews

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Frequently asked questions

What federal number belongs to MARGUERITE SULLIVAN (M.D.)?
The federal identifier for MARGUERITE SULLIVAN (M.D.) is NPI 1811420532.
Does this profile mean MARGUERITE SULLIVAN (M.D.) is currently active?
Yes — MARGUERITE SULLIVAN (M.D.) appears active in the national provider directory.
What field does MARGUERITE SULLIVAN (M.D.) work in?
You can think of MARGUERITE SULLIVAN (M.D.) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MARGUERITE SULLIVAN (M.D.)?
The snapshot lists Beverly, Massachusetts for MARGUERITE SULLIVAN (M.D.); download NPPES for the complete set.
How can I contact MARGUERITE SULLIVAN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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