SEAN W SULLIVAN (DO) – Physical Medicine & Rehabilitation Physician, NPI 1194762286

SEAN W SULLIVAN (DO) is a healthcare provider. based in Ann arbor, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101014473 (MI). The NPI Number for SEAN W SULLIVAN (DO) is 1194762286

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
SEAN W SULLIVAN (DO)
NPI
1194762286
Phone
Not provided
Address
2000 GREEN RD
Enumeration Date
31 May 2006
Last Update Date
9 July 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2694633600
Graduation Year
1998 (28 years ago)
PAC ID
5597718486
Group Practice PAC ID
7416942750
Professional Enrollment ID
I20050303000169
Address ID
MI490989225WA400XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for SEAN W SULLIVAN (DO)

  • Emergency Physicians Medical Group, 2000, Green Road, Ann Arbor, Washtenaw County, Michigan, 48105, United States

    SUITE 300

    ANN ARBOR, MI 481051598

    Phone:

    Type: Mailing

  • Lakeland Hospital, Watervliet, 400, Medical Park Drive, Watervliet, Berrien County, Michigan, 49098, United States

    WATERVLIET, MI 490989225

    Phone: (269) 463-3600

    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: 2005-03-03

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
I20050303000169IFamily PracticeMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes891156$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8381$0
99238Hospital discharge day management, 30 minutes or less7067$0
99239Hospital discharge day management, more than 30 minutes2121$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 48105)

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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: 7416942750View full group profile
NameSpecialtyState
-MI
Clinical PsychologistPA
Family PracticeMI
Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Where can patients find SEAN W SULLIVAN (DO)'s NPI?
You can confirm SEAN W SULLIVAN (DO) with NPI 1194762286; it appears in the national provider directory.
Is SEAN W SULLIVAN (DO) active in the national directory?
SEAN W SULLIVAN (DO)'s public NPI profile is in an active state.
Does SEAN W SULLIVAN (DO) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for SEAN W SULLIVAN (DO). Clinical services aligned with this taxonomy classification.
What location shows for SEAN W SULLIVAN (DO)?
We surface Ann Arbor, Michigan for SEAN W SULLIVAN (DO) based on available NPPES addresses.
How can I contact SEAN W SULLIVAN (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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