Jack Sullivan, MD
NPI 1174325211 · Student in an Organized Health Care Education/Training Program · Seattle, WA
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Sullivan, MD is a Student in an Organized Health Care Education/Training Program provider in Seattle, WA (NPI 1174325211).
Provider details
- NPI number
- 1174325211
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-27
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Frequently asked questions
- What is Jack Sullivan's NPI number?
- Jack Sullivan's National Provider Identifier (NPI) is 1174325211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Sullivan's specialty?
- Jack Sullivan is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jack Sullivan located?
- Jack Sullivan's practice location on file with NPPES is 550 16th Ave Ste 100, Seattle, WA 98122-5636.
- What is Jack Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jack Sullivan is (120) 632-0248.
- Does Jack Sullivan accept Medicare?
- Jack Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Sullivan's NPI active?
- Yes — Jack Sullivan's NPI (1174325211) is active in the NPPES registry as of the last update on 2025-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.