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

Individual provider Internal Medicine Physician · NPI 1548608862

Dr. Kevin George Sullivan, MD is an Internal Medicine in Portland, Maine. Graduated from Emory University School of Medicine in 2013, 13 years ago. Practices with Portland Community Health Center, a 38-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Trained at
Emory University School of Medicine
Licensed in
MA
In the registry since
2013
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

180 Park Ave Ste 1
Portland, ME 04102-2927
Phone: (207) 874-2141
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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 255555 (MA)

Record details

NPI number1548608862
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2013
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesADDICTION MEDICINE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Portland Community Health Center — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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