DR. COLLEEN MICHELLE SULLIVAN (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1265794010

DR. COLLEEN MICHELLE SULLIVAN (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials M.D.. They hold a License No. 4301109875 (MI). The NPI Number for DR. COLLEEN MICHELLE SULLIVAN (M.D.) is 1265794010

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. COLLEEN MICHELLE SULLIVAN (M.D.)
NPI
1265794010
Phone
(616) 840-8000
Address
235 WEALTHY ST SE
Enumeration Date
7 June 2012
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6162420422
Graduation Year
2012 (14 years ago)
PAC ID
5294028080
Group Practice PAC ID
4587576541
Professional Enrollment ID
I20160802000480
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. COLLEEN MICHELLE SULLIVAN (M.D.)

  • 235 WEALTHY ST SE

    GRAND RAPIDS, MI 495035247

    Phone: (616) 840-8000

    Type: Mailing

  • 5838 METRO WAY SW

    WYOMING, MI 495199619

    Phone: (616) 249-5300

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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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: 4587576541View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeOK
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Physical Medicine And RehabilitationMI
-MI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify DR. COLLEEN MICHELLE SULLIVAN (M.D.) with an NPI only?
You can start verification with NPI 1265794010 for DR. COLLEEN MICHELLE SULLIVAN (M.D.), then check state licensing separately.
Is DR. COLLEEN MICHELLE SULLIVAN (M.D.) still practicing?
DR. COLLEEN MICHELLE SULLIVAN (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. COLLEEN MICHELLE SULLIVAN (M.D.)?
For research purposes, treat DR. COLLEEN MICHELLE SULLIVAN (M.D.) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. COLLEEN MICHELLE SULLIVAN (M.D.) list a practice location?
Patients near Grand Rapids, Michigan may find DR. COLLEEN MICHELLE SULLIVAN (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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