THERESA E SULLIVAN (D.O. , M.P.H) – Hospitalist Physician, NPI 1447539655

Hospitalist Physician

THERESA E SULLIVAN (D.O. , M.P.H) is a healthcare provider. based in Grafton, Wisconsin. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials D.O. , M.P.H. They hold a License No. 125060039 (IL). The NPI Number for THERESA E SULLIVAN (D.O. , M.P.H) is 1447539655

Main info

Female

15 Years Of Experience

Accepts Medicare Assignment

Name

THERESA E SULLIVAN (D.O. , M.P.H)

NPI

1447539655

Phone

(262) 329-1000

Address

975 Port Washington Rd

Enumeration Date

5 August 2011

Last Update Date

16 October 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9202888000

Graduation Year

2011 (15 years ago)

PAC ID

3072837160

Group Practice PAC ID

0244130557

Professional Enrollment ID

I20150120002107

Address ID

WI543116519GR2845XRDXX300

Contacts

Secure Messaging

tsullivan124394@direct.myadvocateaurora.org

FHIR Endpoint

https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience66

Completeness85

Years active:14State licenses:2Other namesUpdated within 12 months

1,087 HOSPITALIST in WI

Provider Addresses for THERESA E SULLIVAN (D.O. , M.P.H)

975 Port Washington Rd
Grafton, WI 53024
Phone: (262) 329-1000
Fax: (262) 329-1001
Type: Location
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Phone: (262) 329-1000
Fax: (262) 329-1001
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (262) 799-8700
Type: Mailing
PO BOX 735044
CHICAGO, IL 606735044
Phone: (414) 649-6000
Type: Mailing
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 531771516
Phone: (262) 799-8700
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: 2015-01-20

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

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
I20150120002107	I	Hospitalist	WI	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	393	160	$0
99239	Hospital discharge day management, more than 30 minutes	172	153	$0
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	71	$0

View full utilization report →

Insurance plans in this area (ZIP 53024)

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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: 0244130557View full group profile

Name	Specialty	State
YAW D BERKO (MD)	Hospitalist, Internal Medicine	MI
HEATHER M STEFANIAK (MD)	U R O L O G Y	WI
WILLIAM T WITMER (MD)	Cardiovascular Disease (Cardiology)	WI
DR. JAMES L JR NAPIER (MD)	N E U R O L O G Y	WI
RICHARD WINDSOR (MD)	-	WI
SCOTT T WESLOW (MD)	Cardiovascular Disease (Cardiology), Peripheral Vascular Disease	WI
ASHLEY M WOLFGRAM (NP)	Nurse Practitioner	WI
DR. NICOLE MARTIN (MD)	Internal Medicine	WI
CYNTHIA TIEN-BAO CHAO (M.D.)	-	ME
ADAM C HARRIG (PA)	Physician Assistant	IL

Reviews

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Frequently asked questions

What is the standard ID for THERESA E SULLIVAN (D.O. , M.P.H) in the U.S.?

In the U.S., THERESA E SULLIVAN (D.O. , M.P.H) is identified by NPI 1447539655.

Does the public listing show THERESA E SULLIVAN (D.O. , M.P.H) as active?

THERESA E SULLIVAN (D.O. , M.P.H)'s NPI record reflects an active status in NPPES.

What does the directory say THERESA E SULLIVAN (D.O. , M.P.H) does?

Insurance directories may phrase it differently, but here THERESA E SULLIVAN (D.O. , M.P.H) maps to Hospitalist Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to THERESA E SULLIVAN (D.O. , M.P.H)?

THERESA E SULLIVAN (D.O. , M.P.H) shows a connection to Grafton, Wisconsin in registry-derived data.

Who maintains THERESA E SULLIVAN (D.O. , M.P.H)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.