Doctor profile · Federal record
Dr. Kellen Sullivan, MD
Internal Medicine Physician (CMS: Internal Medicine) · Salt Lake City, UT
- NPI 1003479270
- Accepts Medicare
- MIPS 88.7 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
30 N 1900 E Rm 4C116
Salt Lake City, UT 841320002
(801) 581-7606
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- August 24, 2020
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Utah #11898972-1205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003479270. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
208
Distinct HCPCS
3
Medicare allowed
$22,840
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 103 | 102 | $168 | |
G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 91 | 28 | $28 | |
99291 |
Critical care, first 30-74 minutes | 14 | 14 | $209 |
In context: peer comparison
Among 55 peers in this city , average services per provider: 81. This provider delivers 2.6× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Kellen Sullivan's medical specialty?
Dr. Kellen Sullivan practices Internal Medicine Physician in Salt Lake City, UT.
Where does Dr. Kellen Sullivan practice?
Dr. Kellen Sullivan practices at 30 N 1900 E Rm 4C116, Salt Lake City, UT 841320002. Office phone: 8015817606.
What is Dr. Kellen Sullivan's NPI?
Dr. Kellen Sullivan's National Provider Identifier (NPI) is 1003479270, issued by NPPES.
Does Dr. Kellen Sullivan accept Medicare assignment?
Yes. Dr. Kellen Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kellen Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223); Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th (HCPCS G0316); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.