TIMOTHY MICHAEL SULLIVAN (MD) – Vascular & Interventional Radiology Physician, NPI 1063484061

TIMOTHY MICHAEL SULLIVAN (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Vascular & Interventional Radiology Physician. They hold the professional credentials MD. They hold a License No. 44841 (MN). The NPI Number for TIMOTHY MICHAEL SULLIVAN (MD) is 1063484061

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY MICHAEL SULLIVAN (MD)
NPI
1063484061
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
3 February 2006
Last Update Date
14 November 2011

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6127758866
Graduation Year
1983 (43 years ago)
PAC ID
1557377991
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20080128000150
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for TIMOTHY MICHAEL SULLIVAN (MD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 920, East 28th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States

    MINNEAPOLIS, MN 554071139

    Phone: (612) 863-6800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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

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.

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

Insurance plans in this area (ZIP 55407)

Loading plans...

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: 4587573613View full group profile
NameSpecialtyState
DR. JOHN PAUL BERGER (D.O.)
Pulmonary DiseaseCO
DR. JULIA BRADEN REITZ (AU.D.)
Qualified AudiologistMN
EMILY FUNK (M.D.)
Family PracticeMN
EFRAT EICHENBAUM (LP, PHD)
-MN
DR. DAVID SHRAKE (D.O.)
Family PracticeMN
SADIE MARIE NELSON (APRN, CNP)
Nurse PractitionerND
JEFFREY C. MANLOVE (M.D.)
-MN
DR. ROBIN D MCALLISTER (MD)
-MN
Unknown Individual
-MN
LOIS A KUBITSCHEK (GNP)
-MN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference TIMOTHY MICHAEL SULLIVAN (MD)?
For TIMOTHY MICHAEL SULLIVAN (MD), use NPI 1063484061 as the unique 10-digit identifier.
Active or inactive — what applies to TIMOTHY MICHAEL SULLIVAN (MD)?
You should see TIMOTHY MICHAEL SULLIVAN (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to TIMOTHY MICHAEL SULLIVAN (MD)?
TIMOTHY MICHAEL SULLIVAN (MD)'s specialty line reads Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is TIMOTHY MICHAEL SULLIVAN (MD) registered?
Use Minneapolis, Minnesota as the headline location for TIMOTHY MICHAEL SULLIVAN (MD) here.
Does TIMOTHY MICHAEL SULLIVAN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.