SULLIVAN MEDICAL CLINIC, LLC
SULLIVAN MEDICAL CLINIC, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1205263159, based in Milwaukee, WI. It is classified under Addiction Medicine (Internal Medicine) Physician.
Getting there
The practice address on file is 6040 W LISBON AVE SUITE 200, Milwaukee, WI 53210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7214167196
- Enrollment ID
- O20140221000634
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Addiction Medicine covers
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. NUCC Health Care Provider Taxonomy, code 207RA0401X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1205263159 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 7, 2013 |
| Last updated | Oct 7, 2013 |
| Status | Active |
| Practice address |
6040 W LISBON AVE SUITE 200 Milwaukee, WI 53210 (414) 447-9890 Fax (414) 447-9891 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 2 | 6 | 3 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 4 | 6 | 6 | 1 | 1 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.