Sullivan Medical Clinic, LLC
NPI 1205263159 · Addiction Medicine (Internal Medicine) Physician · Milwaukee, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sullivan Medical Clinic, LLC is a Addiction Medicine (Internal Medicine) Physician organization in Milwaukee, WI (NPI 1205263159).
Provider details
- NPI number
- 1205263159
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerald Sullivan, Sole Mbr(414) 447-9890
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2013-10-07
- Last updated
- 2013-10-07
Frequently asked questions
- What is Sullivan Medical Clinic, LLC's NPI number?
- Sullivan Medical Clinic, LLC's National Provider Identifier (NPI) is 1205263159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sullivan Medical Clinic, LLC?
- Sullivan Medical Clinic, LLC is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Sullivan Medical Clinic, LLC located?
- Sullivan Medical Clinic, LLC's practice location on file with NPPES is 6040 W Lisbon Ave, Milwaukee, WI 53210-2116.
- What is Sullivan Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sullivan Medical Clinic, LLC is (414) 447-9890.
- Does Sullivan Medical Clinic, LLC accept Medicare?
- Sullivan Medical Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sullivan Medical Clinic, LLC?
- The authorized official listed on Sullivan Medical Clinic, LLC's NPPES record is Gerald Sullivan, Sole Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sullivan Medical Clinic, LLC's NPI active?
- Yes — Sullivan Medical Clinic, LLC's NPI (1205263159) is active in the NPPES registry as of the last update on 2013-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.