DR. DONALD J SULLIVAN (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1508814484

DR. DONALD J SULLIVAN (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 26078 (TN). The NPI Number for DR. DONALD J SULLIVAN (MD) is 1508814484

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD J SULLIVAN (MD)
NPI
1508814484
Phone
(901) 213-5460
Address
4100 Austin Peay Hwy
Enumeration Date
4 May 2006
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2087432511
Graduation Year
1988 (38 years ago)
PAC ID
6103816756
Group Practice PAC ID
8325325806
Professional Enrollment ID
I20251021003986
Address ID
ID835012431LE415XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

206 PHYSICAL MEDICINE AND REHABILITATION in TN

Provider Addresses for DR. DONALD J SULLIVAN (MD)

  • 4100 Austin Peay Hwy

    Memphis, TN 381282502

    Phone: (901) 213-5460

    Fax: (901) 213-5439

    Type: Location

  • PO BOX 1000 DEPT 0194

    MEMPHIS, TN 381482246

    Phone: (901) 315-7932

    Type: Mailing

  • Healthsouth Rehabilitation Hospital North, 4100, Austin Peay Highway, Memphis, Shelby County, Tennessee, 38128, United States

    MEMPHIS, TN 381282502

    Phone: (901) 213-5460

    Fax: (901) 213-5439

    Type: Location

  • 9639 FOX HILL CIR N

    GERMANTOWN, TN 381396812

    Phone: (901) 315-7932

    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: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040514001086IPhysical Medicine And RehabilitationTNTBD
I20250623002875IPhysical Medicine And RehabilitationOHTBD
I20251021003986IPhysical Medicine And RehabilitationIDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,610413$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes223214$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9577$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and8582$0
99238Hospital discharge day management, 30 minutes or less8079$0
View full utilization report →

Insurance plans in this area (ZIP 38128)

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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: 8325325806View full group profile
NameSpecialtyState
General SurgeryUT
-ID
Interventional RadiologyWA
Nurse PractitionerWA
Family PracticeID
-ID
Nurse PractitionerID
H E M A T O L O G Y/ O N C O L O G YID
General SurgeryCO
Orthopedic SurgeryID

Reviews

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Frequently asked questions

Can I cross-check DR. DONALD J SULLIVAN (MD) using NPI 1508814484?
NPI 1508814484 belongs to DR. DONALD J SULLIVAN (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. DONALD J SULLIVAN (MD)?
You should see DR. DONALD J SULLIVAN (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. DONALD J SULLIVAN (MD)?
At a glance, DR. DONALD J SULLIVAN (MD) is tied to Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Is DR. DONALD J SULLIVAN (MD) associated with Memphis?
Public fields place DR. DONALD J SULLIVAN (MD) around Memphis, Tennessee. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. DONALD J SULLIVAN (MD) is noted as May 4, 2006 where the registry provides it.

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