LIAM KELLY SULLIVAN (MD) – Anesthesiology Physician, NPI 1003347162
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ANESTHESIOLOGY in RI
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Provider Addresses for LIAM KELLY SULLIVAN (MD)
170, Waterman Street, Wayland, Providence, Providence County, Rhode Island, 02906, United States
APT 3
PROVIDENCE, RI 029063921
Phone: (207) 317-0704
Type: Mailing
PO BOX 840857
DALLAS, TX 752840857
Phone: (725) 204-4632
Fax: (702) 805-0307
Type: Mailing
7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS, NV 891135395
Phone: (702) 878-0070
Fax: (702) 805-0307
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: 2024-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240113000780 | I | Anesthesiology | 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 02906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| A N E S T H E S I O L O G Y | NV | |
| A N E S T H E S I O L O G Y | NV | |
| - | NV | |
| A N E S T H E S I O L O G Y | NV | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | NV |
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