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Active NPI 1578226304 Individual Practitioner Male Practitioner

Benjamin M Sullivan , PA-C

Physician Assistant • Troy, MI

Professional Overview & Biography Verified Profile Summary

Benjamin Sullivan, PA-C is a registered healthcare professional specializing in Physician Assistant in Troy, MI. Practice services are available at 44201 DEQUINDRE RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, interpretation and report of electrical activity of heart using 1-3 leads. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

44201 Dequindre Rd

Troy, MI 480851117

Telephone 2489645000
Associated Practice Facility / Clinic
🏢 William Beaumont Hospital Facility NPI 1306825997

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Troy, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
239 Specialists

Practicing in Troy, MI (7057 Statewide)

Telehealth Adoption Rate
8.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
102 101 $1227.65 $155.11
99284 Emergency department visit with moderate level of medical decision making
37 37 $835.41 $106.32
93042 Interpretation and report of electrical activity of heart using 1-3 leads
25 24 $53.00 $5.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
23 22 $64.04 $7.58

Medical Specialties & State Licenses

CMS Verified: 2025-09-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601010852

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 032145

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

1215 E Michigan Ave

Lansing, MI 489121811

Phone: 5173641000

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003730268
Dr. Kristen Light , DNP, RN, AGPCNP-BC

Nurse Practitioner - Primary Care

NPI 1013435619

Doctor of Nursing Practice, Registered Nurse, AGPCNPBC

Samantha Henderson , PA-C

Physician Assistant

NPI 1013502962

Physician Assistant (Certified)

Sharon Lindow

Speech-Language Pathologist

NPI 1023431632
Nicole Trudeau-Klimek , NP

Nurse Practitioner

NPI 1023597168

Nurse Practitioner

Matthew Norman

Nurse Anesthetist, Certified Registered

NPI 1043198732

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 12, 2025

Registered at 44201 DEQUINDRE RD, TROY, MI 480851117 (Tel: 2489645000)

📍
Updated Business Mailing Address September 12, 2025

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2024

Physician Assistant (License #032145 in NY)

NPI Profile Active October 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2021

Registered at 1215 E MICHIGAN AVE, LANSING, MI 489121811 (Tel: 5173641000)

📍
Updated Business Mailing Address October 19, 2021

Registered at 26105 DUNDEE RD, HUNTINGTON WOODS, MI 480701347 (Tel: 2483021201)

👤
Provider Name / Credentials Updated October 19, 2021

Recorded as BENJAMIN SULLIVAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2021

Physician Assistant (License #5601010852 in MI)

🟢
Initial NPI Registration & Enumeration October 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578226304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2021
Last Update: September 12, 2025
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

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.