Michael Sullivan, MD
NPI 1336105626 · Neurology Physician · So Lake Tahoe, CA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Sullivan, MD is a Neurology Physician provider in So Lake Tahoe, CA (NPI 1336105626).
Provider details
- NPI number
- 1336105626
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G40941 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-04-25
- Last updated
- 2012-09-28
Frequently asked questions
- What is Michael Sullivan's NPI number?
- Michael Sullivan's National Provider Identifier (NPI) is 1336105626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Sullivan's specialty?
- Michael Sullivan is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Sullivan located?
- Michael Sullivan's practice location on file with NPPES is 2101 South Ave, So Lake Tahoe, CA 96150.
- What is Michael Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Michael Sullivan is (530) 542-5744.
- Does Michael Sullivan accept Medicare?
- Michael Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Sullivan's NPI active?
- Yes — Michael Sullivan's NPI (1336105626) is active in the NPPES registry as of the last update on 2012-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.