PATRICK P SULLIVAN (MD) – Diagnostic Radiology Physician, NPI 1063491819

Diagnostic Radiology Physician

PATRICK P SULLIVAN (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 35518 (MN). The NPI Number for PATRICK P SULLIVAN (MD) is 1063491819

Main info

Male

35 Years Of Experience

Accepts Medicare Assignment

Name

PATRICK P SULLIVAN (MD)

NPI

1063491819

Phone

(651) 292-2043

Address

166 4TH ST E

Enumeration Date

11 January 2006

Last Update Date

22 July 2021

Doctor Profile

Medical School Name

MAYO MEDICAL SCHOOL

Secondary Phone

7154833221

Graduation Year

1991 (35 years ago)

PAC ID

6305750019

Group Practice PAC ID

9335032184

Professional Enrollment ID

I20041119000118

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

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Provider Addresses for PATRICK P SULLIVAN (MD)

166, East 4th Street, Downtown, Saint Paul, Ramsey County, Minnesota, 55101, United States
SAINT PAUL, MN 551011421
Phone: (651) 292-2043
Fax: (651) 292-2204
Type: Mailing
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 551133905
Phone: (651) 292-2000
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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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 55101)

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Provider's Procedures

PATRICK P SULLIVAN (MD) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	MN	71250	CT scan chest	138	135
DIAGNOSTIC RADIOLOGY	MN	74177	CT scan of abdomen and pelvis with contrast	177	168
DIAGNOSTIC RADIOLOGY	MN	76942	Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11

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: 9335032184View full group profile

Name	Specialty	State
SHAUN TERRANCE OKEEFE (PAC, MPAS)	Physician Assistant	MN
JILLIAN PECHACEK	-	WI
MARISSA CASEY (DNP, ARNP, FNP-BC)	-	IA
MR. MATTHEW C HAWKINS (P.A.-C.)	Physician Assistant	MN
GLENN A NICKELE (MD)	Cardiovascular Disease (Cardiology)	MN
REBECCA LYNN JONES	Internal Medicine, Pediatric Medicine	MN
PATRICIA A FETTES (PHD)	-	WI
JOHN W INGALLS (MD)	-	WI
MARCO A GUERRERO (MD)	Cardiac Electrophysiology	MN
RICHARD ARTHUR JR. PASQUARELLA (PA-C)	-	MN

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Frequently asked questions

What number should I use to identify PATRICK P SULLIVAN (MD) for billing?

Administrative and clinical systems typically use NPI 1063491819 for PATRICK P SULLIVAN (MD).

Should I treat PATRICK P SULLIVAN (MD) as an active provider?

Patients and plans typically see PATRICK P SULLIVAN (MD) as active in the national extract.

What does the directory say PATRICK P SULLIVAN (MD) does?

Insurance directories may phrase it differently, but here PATRICK P SULLIVAN (MD) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to PATRICK P SULLIVAN (MD)?

PATRICK P SULLIVAN (MD) is associated with Saint Paul, Minnesota in the same public data insurers reference.

Who maintains PATRICK P SULLIVAN (MD)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.