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

Michael E Sullivan, MD

Individual provider Family Medicine Physician · NPI 1093883142

Michael E Sullivan, MD is a Family Practice in Watertown, Wisconsin. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2001, 25 years ago. Practices with Watertown Family Practice Associates, SC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
25
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
WI
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

127 Hospital Dr
Watertown, WI 53098-3303
Phone: (920) 261-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 46656 (WI)

Record details

NPI number1093883142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address127 Hospital Dr, Watertown, WI 53098-3303

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2001 (25 years in practice)
Group practice Watertown Family Practice Associates, Sc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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