SHAUN PAUL SULLIVAN (MD) – Anesthesiology Physician, NPI 1164445235

SHAUN PAUL SULLIVAN (MD) is a healthcare provider. based in Bellingham, Washington. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. MD00020213 (WA). The NPI Number for SHAUN PAUL SULLIVAN (MD) is 1164445235

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
SHAUN PAUL SULLIVAN (MD)
NPI
1164445235
Phone
(360) 647-3377
Address
2980 SQUALICUM PKWY
Enumeration Date
26 July 2006
Last Update Date
29 February 2008

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3606473377
Graduation Year
1981 (45 years ago)
PAC ID
7416856935
Group Practice PAC ID
6406755990
Professional Enrollment ID
I20040714000503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SHAUN PAUL SULLIVAN (MD)

  • 2980, Squalicum Parkway, Parkview, Cornwall Park, Bellingham, Whatcom County, Washington, 98225, United States

    SUITE 105

    BELLINGHAM, WA 982251880

    Phone: (360) 647-3377

    Fax: (360) 752-3214

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-09-05 • Largest payer in this snapshot: 180 Medical, Inc. ($19).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-05

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: 2004-07-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040714000503IAnesthesiologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98225)

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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: 6406755990View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAZ
-WA
A N E S T H E S I O L O G YHI
-WA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YWA
-WA
A N E S T H E S I O L O G YWA

Reviews

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Frequently asked questions

Can I verify SHAUN PAUL SULLIVAN (MD) with an NPI only?
You can start verification with NPI 1164445235 for SHAUN PAUL SULLIVAN (MD), then check state licensing separately.
Does the file indicate SHAUN PAUL SULLIVAN (MD) is practicing under active NPI?
Directory data currently reports SHAUN PAUL SULLIVAN (MD) as active.
What is SHAUN PAUL SULLIVAN (MD) best known for clinically?
Directory data describes SHAUN PAUL SULLIVAN (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does SHAUN PAUL SULLIVAN (MD) list a practice location?
Patients near Bellingham, Washington may find SHAUN PAUL SULLIVAN (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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