James Sullivan, MD
NPI 1134169220 · Internal Medicine Physician · Providence, RI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Sullivan, MD is a Internal Medicine Physician provider in Providence, RI (NPI 1134169220).
Provider details
- NPI number
- 1134169220
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD09207 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,454 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 619 | $70 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 363 | $16 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 178 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 160 | $46 |
| Hemoglobin A1c Level83036 | 65 | $10 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 100 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 409 | 93 |
| Atorvastatin Calcium | 409 | 101 |
| Lisinopril | 402 | 98 |
| Hydrochlorothiazide | 237 | 55 |
| Levothyroxine Sodium | 223 | 46 |
| Omeprazole | 218 | 56 |
| Sertraline Hcl | 205 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2018-06-08
Frequently asked questions
- What is James Sullivan's NPI number?
- James Sullivan's National Provider Identifier (NPI) is 1134169220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Sullivan's specialty?
- James Sullivan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Sullivan located?
- James Sullivan's practice location on file with NPPES is 909 N Main St, Providence, RI 02904-5752.
- What is James Sullivan's phone number?
- The practice phone number listed in the NPPES registry for James Sullivan is (401) 273-4064.
- Does James Sullivan accept Medicare?
- James Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Sullivan's NPI active?
- Yes — James Sullivan's NPI (1134169220) is active in the NPPES registry as of the last update on 2018-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.