DR. MICHAEL JOHN SULLIVAN (M.D.) – Family Medicine Physician, NPI 1528076197

DR. MICHAEL JOHN SULLIVAN (M.D.) is a healthcare provider. based in Aurora, Nebraska. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 16840 (NE). The NPI Number for DR. MICHAEL JOHN SULLIVAN (M.D.) is 1528076197

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JOHN SULLIVAN (M.D.)
NPI
1528076197
Phone
(402) 694-3171
Address
609 O ST
Enumeration Date
3 August 2006
Last Update Date
17 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4026943191
Graduation Year
1983 (43 years ago)
PAC ID
7911031844
Group Practice PAC ID
1355394040
Professional Enrollment ID
I20100814000050

Contacts

Secure Messaging
MICHAELSULLIVAN@mchi.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for DR. MICHAEL JOHN SULLIVAN (M.D.)

  • Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States

    AURORA, NE 688181100

    Phone: (402) 694-3171

    Fax: (402) 694-2146

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-06-14 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($68).

Total Amount

$110

General + Research + Ownership

Payments

3

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-14

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
I20100814000050IFamily PracticeNETBD

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 68818)

Loading plans...

Provider's Procedures

DR. MICHAEL JOHN SULLIVAN (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENE90670Pneumococcal vaccine for injection into muscle3838

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: 1355394040View full group profile
NameSpecialtyState
Family PracticeNE
Nurse PractitionerNE
Family PracticeNE
Family PracticeNE
Family PracticeNE
-NE
Physician AssistantNE
Physician AssistantAZ
Nurse PractitionerNE
Nurse PractitionerIA

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

What federal number belongs to DR. MICHAEL JOHN SULLIVAN (M.D.)?
The federal identifier for DR. MICHAEL JOHN SULLIVAN (M.D.) is NPI 1528076197.
Is DR. MICHAEL JOHN SULLIVAN (M.D.) active in the national directory?
DR. MICHAEL JOHN SULLIVAN (M.D.)'s public NPI profile is in an active state.
Does DR. MICHAEL JOHN SULLIVAN (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. MICHAEL JOHN SULLIVAN (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MICHAEL JOHN SULLIVAN (M.D.)?
The snapshot lists Aurora, Nebraska for DR. MICHAEL JOHN SULLIVAN (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DR. SCOTT ROGER JOHNSON (M.D.)

Family Medicine Physician
Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States
NPI: 1497761134

DR. JOHN CLARK WILCOX (M.D.)

Family Medicine Physician
Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States
NPI: 1124036710

DR. MARK DAVID JOBMAN (M.D.)

Family Medicine Physician
Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States
NPI: 1134137706

DR. JEFFREY JOHN MUILENBURG (M.D.)

Family Medicine Physician
Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States
NPI: 1386652964

DR. TIMOTHY JAMES WIDHALM (M.D.)

Family Medicine Physician
Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States
NPI: 1437167038

MEMORIAL HEALTH CLINIC

Family Medicine Physician
Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States
NPI: 1881603850

JENNIFER C HARNEY (M.D.)

Family Medicine Physician
609 O ST
NPI: 1467830026

ALEXIS R. ERBST (M.D.)

Family Medicine Physician
Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States
NPI: 1407382302