DR. PAMELA C SULLIVAN (MD) – Emergency Medicine Physician, NPI 1326191107
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,289 INTERNAL MEDICINE in KS
Provider Addresses for DR. PAMELA C SULLIVAN (MD)
2370 CORPORATE CIR STE 300
HENDERSON, NV 890747760
Phone: (702) 910-3950
Type: Mailing
10870 Benson Dr Ste 2160
Overland Park, KS 662101509
Phone: (833) 357-3227
Type: Location
113 Glenn Pl Unit 100
Lexington, KY 405053518
Phone: (833) 358-2278
Type: Location
3436 Magazine St Unit 7145
New Orleans, LA 701152413
Phone: (833) 362-5364
Type: Location
460 Briarwood Dr Ste 400-32
Jackson, MS 392063051
Phone: (657) 237-2450
Type: Location
2645 Meridian Pkwy Ste 323
Durham, NC 277139957
Phone: (657) 237-2450
Type: Location
701 Seneca St Ste 646C
Buffalo, NY 142101351
Phone: (716) 995-4450
Type: Location
9020 SW Washington Square Rd Ste 100
Tigard, OR 972234435
Phone: (503) 420-5852
Type: Location
10 Dorrance St Ste 700
Providence, RI 029032014
Phone: (833) 229-0957
Type: Location
3455 Mill Run Dr Ste 310
Hilliard, OH 430269082
Phone: (833) 358-2036
Type: Location
171 NW Medical Loop Ste 200
Roseburg, OR 974718822
Phone: (971) 701-9058
Type: Location
5255 E Williams Cir Ste 3000
Tucson, AZ 857117407
Phone: (520) 392-8400
Type: Location
Ridge Road, Bumgarden Ford, Webster County, Missouri, United States
WEBSTER, NY 145802952
Phone: (585) 872-2273
Type: Mailing
Center Avenue, Boulevard Gardens, Huntington Beach, Orange County, California, 92655, United States
HUNTINGTON BEACH, CA 92647
Phone: (657) 237-2450
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: 2026-02-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050511000813 | I | Internal Medicine | NY | TBD |
| I20180831002014 | I | Internal Medicine | OR | TBD |
| I20201021000000 | I | Internal Medicine | WA | TBD |
| I20221228001843 | I | Internal Medicine | AZ | TBD |
| I20260210002625 | I | Internal Medicine | NV | TBD |
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.
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 89074)
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