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Deactivated NPI 1598842007 Deactivated / Inactive NPI Female Practitioner

Dr. Sabin James Sullivan , MD, MPH

Pediatrics • Lexington, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sabin Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date April 12, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Sabin Sullivan, MD, MPH was a registered Pediatrics practicing in Lexington, MA. Throughout an active medical career spanning 17 years, Dr. Sullivan provided care at the practice location at 922 WALTHAM ST until profile deactivation on 2023-04-12.

Practice Location & Contact Primary Location

Practice Address

922 Waltham St
Suite 108

Lexington, MA 024218019

Telephone 7818618556
Fax 7818618555
Associated Practice Facility / Clinic
🏢 Lexington Endodontics Facility NPI 1417202532

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lexington, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Lexington, MA (2760 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 77199

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1073543005

DCHDDMDMSCD

Dr. Russell Hagopian , DMD

Dentist - General Practice

NPI 1104859024

Doctor of Dental Medicine

Dr. Brenda Nishimura , DDS

Dentist - General Practice

NPI 1225051113

Doctor of Dental Surgery

Emily Mccleary , RDH

Dental Hygienist

NPI 1447843289

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2023

Record deactivated on April 12, 2023

NPI Profile Active March 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 16, 2011

Registered at 922 WALTHAM ST, SUITE 108, LEXINGTON, MA 024218019 (Tel: 7818618556)

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Updated Business Mailing Address March 16, 2011

Registered at 922 WALTHAM ST, SUITE 108, LEXINGTON, MA 024218019 (Tel: 7818618556)

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Provider Name / Credentials Updated March 16, 2011

Recorded as SABIN SULLIVAN, MD, MPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2011

Pediatrics (License #77199 in MA)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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NPI Administrative Meta

NPI Number: 1598842007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: March 16, 2011
Deactivation Date: April 12, 2023

Mailing Address

922 Waltham St, Suite 108

Lexington, MA 024218019

Phone: 7818618556

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.