KEISHA DANIELLE SULLIVAN (DO) – Sleep Medicine (Family Medicine) Physician, NPI 1437545720

KEISHA DANIELLE SULLIVAN (DO) is a healthcare provider. based in Lansdowne, Virginia. specializing in SLEEP MEDICINE. They hold the professional credentials DO. They hold a License No. 58.007478 (OH). The NPI Number for KEISHA DANIELLE SULLIVAN (DO) is 1437545720

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KEISHA DANIELLE SULLIVAN (DO)
NPI
1437545720
Phone
(703) 729-3420
Address
19441 GOLF VISTA PLZ STE 230
Enumeration Date
13 April 2015
Last Update Date
17 February 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4103094600
Graduation Year
2015 (11 years ago)
PAC ID
4082908140
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20250530001294
Address ID
MD210463424CO7070XDRXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Other namesUpdated within 12 months

175 SLEEP MEDICINE in OH

Provider Addresses for KEISHA DANIELLE SULLIVAN (DO)

  • 19441 GOLF VISTA PLZ STE 230

    LANSDOWNE, VA 201768271

    Phone: (703) 729-3420

    Fax: (703) 729-3422

    Type: Mailing

  • 11100 EUCLID AVE FL BOLWELL6

    CLEVELAND, OH 44106

    Phone: (216) 844-5128

    Type: Location

  • 19441 GOLF VISTA PLAZA, SUITES 230 & 310

    LEESBURG, VA 201768272

    Phone: (703) 729-3420

    Fax: (703) 729-3420

    Type: Location

  • 224-D CORNWALL ST., NW SUITE 403

    LEESBURG, VA 201762704

    Phone: (703) 737-6010

    Fax: (703) 443-8643

    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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-02-13 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-13

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: 2025-05-30

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
I20190815001901ISleep MedicineDCTBD
I20190826000283ISleep MedicineVATBD
I20250530001294ISleep MedicineMDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7976$0
95800Sleep study including heart rate, breathing, and sleep time2624$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 20176)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to KEISHA DANIELLE SULLIVAN (DO)?
NPI 1437545720 is assigned to KEISHA DANIELLE SULLIVAN (DO) under the national enumeration system.
Does this profile mean KEISHA DANIELLE SULLIVAN (DO) is currently active?
Yes — KEISHA DANIELLE SULLIVAN (DO) appears active in the national provider directory.
What kind of provider is KEISHA DANIELLE SULLIVAN (DO)?
The page reflects Sleep Medicine (Family Medicine) Physician for KEISHA DANIELLE SULLIVAN (DO). Clinical services aligned with this taxonomy classification.
Where is KEISHA DANIELLE SULLIVAN (DO)'s primary listing?
We display Lansdowne, Virginia because that is what the record indicates for KEISHA DANIELLE SULLIVAN (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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