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

Dr. Scott J Sullivan, MD

Individual provider Diagnostic Radiology Physician · NPI 1790733822

Dr. Scott J Sullivan, MD is a Diagnostic Radiology in Greenwich, Connecticut. Graduated from Georgetown University School of Medicine in 1991, 35 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group and works from 2 locations. Licensed in Connecticut.

Years since qualifying
35
Trained at
Georgetown University School of Medicine
Licensed in
CT
In the registry since
2006
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

49 Lake Ave
Greenwich, CT 06830-4501
Phone: (203) 869-6220
Fax: (203) 869-2672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 — (952) 595-1100

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 039001 (CT)

Record details

NPI number1790733822
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address49 Lake Ave, Greenwich, CT 06830-4501

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Not indicated
Practice locations17 on file with Medicare

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