PATRICK O. SULLIVAN (D.O.) – Emergency Medicine Physician, NPI 1154536738

PATRICK O. SULLIVAN (D.O.) is a healthcare provider. based in Cherry hill, New Jersey. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. MB08239800 (NJ). The NPI Number for PATRICK O. SULLIVAN (D.O.) is 1154536738

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK O. SULLIVAN (D.O.)
NPI
1154536738
Phone
(856) 488-6816
Address
2201 CHAPEL AVE W
Enumeration Date
14 May 2007
Last Update Date
2 November 2020

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
6104472000
Graduation Year
2003 (23 years ago)
PAC ID
4981798550
Group Practice PAC ID
1759301799
Professional Enrollment ID
I20190305000871
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for PATRICK O. SULLIVAN (D.O.)

  • Jefferson Cherry Hill Hospital, 2201, Chapel Avenue West, Windsor Park, Cherry Hill Township, Camden County, New Jersey, 08002, United States

    CHERRY HILL, NJ 080022048

    Phone: (856) 488-6816

    Type: Location

  • 307, South Evergreen Avenue, Woodbury, Gloucester County, New Jersey, 08096, United States

    WOODBURY, NJ 080962739

    Phone: (856) 686-4300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-08-16 • Largest payer in this snapshot: PFIZER INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$17
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: 2019-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070913000733IEmergency MedicineNJTBD
I20190305000871IEmergency MedicinePATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 08002)

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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: 1759301799View full group profile
NameSpecialtyState
Emergency MedicineNJ
-PA
Family Practice, Emergency Medicine, Emergency MedicinePA
-NJ
Emergency MedicinePA
-PA
-FL
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicineMI

Reviews

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Frequently asked questions

How do payers reference PATRICK O. SULLIVAN (D.O.)?
For PATRICK O. SULLIVAN (D.O.), use NPI 1154536738 as the unique 10-digit identifier.
Is there an active status for PATRICK O. SULLIVAN (D.O.)?
For scheduling context, PATRICK O. SULLIVAN (D.O.) is shown as active in the registry.
What kind of doctor is PATRICK O. SULLIVAN (D.O.)?
PATRICK O. SULLIVAN (D.O.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PATRICK O. SULLIVAN (D.O.) located near Cherry Hill?
PATRICK O. SULLIVAN (D.O.) currently maps to Cherry Hill, New Jersey in this extract.
Can I trust this NPI listing for PATRICK O. SULLIVAN (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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