CHRISTINE SULLIVAN (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1023071586

CHRISTINE SULLIVAN (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials MD. They hold a License No. R9F81 (MO). The NPI Number for CHRISTINE SULLIVAN (MD) is 1023071586

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE SULLIVAN (MD)
NPI
1023071586
Phone
(816) 218-2500
Address
2310 HOLMES ST
Enumeration Date
7 April 2006
Last Update Date
8 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8164041000
Graduation Year
1985 (41 years ago)
PAC ID
8022008747
Group Practice PAC ID
1153235825
Professional Enrollment ID
I20040514000789
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CHRISTINE SULLIVAN (MD)

  • 2310, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    STE 800

    KANSAS CITY, MO 641082634

    Phone: (816) 218-2500

    Fax: (816) 421-7379

    Type: Mailing

  • Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 641082640

    Phone: (816) 404-1500

    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: 2004-05-14

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
I20040514000789IEmergency MedicineMOTBD

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.

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

Insurance plans in this area (ZIP 64108)

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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: 1153235825View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineMO
Internal MedicineMO
Orthopedic SurgeryMO
N E U R O L O G YMO
Hospitalist, Pediatric MedicineMO
Internal Medicine, Hospice/Palliative CareMO
Emergency MedicineMO
Emergency MedicineMO
O B S T E T R I C S/ G Y N E C O L O G YMO
P A T H O L O G YMO

Reviews

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Frequently asked questions

Is there an official ID for CHRISTINE SULLIVAN (MD) in U.S. healthcare records?
The official identifier for CHRISTINE SULLIVAN (MD) is NPI 1023071586.
Is CHRISTINE SULLIVAN (MD) shown as active in public data?
Registry records indicate CHRISTINE SULLIVAN (MD) maintains an active NPI.
What kind of doctor is CHRISTINE SULLIVAN (MD)?
CHRISTINE SULLIVAN (MD) is associated with Emergency Medical Services (Emergency Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is CHRISTINE SULLIVAN (MD) registered?
Use Kansas City, Missouri as the headline location for CHRISTINE SULLIVAN (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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