Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy Tyson Sullivan, MD

Individual provider Specialist · NPI 1053379644

Dr. Jeremy Tyson Sullivan, MD is a Specialist in Carmel, Indiana. Practices as a sole proprietor. Licensed in Indiana and Tennessee.

Licensed in
IN, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10601 Winterwood
Carmel, IN 46032-8258
Phone: (615) 478-3720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01066525A (IN)
Specialist Taxonomy 174400000X · Licence 35131 (TN)

Record details

NPI number1053379644
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2006
Last updated in NPPESMarch 7, 2023

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