Nicole Sullivan, MD
NPI 1750919122ActiveIndividual· Radiology, Diagnostic Radiology· Little Rock, AR
Radiology, Diagnostic Radiology (MD) in Little Rock, Arkansas, trained at University of Arkansas College of Medicine (class of 2020). Enrolled in Medicare as practitioner - diagnostic radiology and practitioner - diagnostic radiology.
Overview
| NPI | 1750919122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2020 |
| Last updated in NPPES | Aug 28, 2026 |
| Certified by provider | Aug 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | MD.70087066 | WA |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | MD.70087066 | WA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (AK); Practitioner - Diagnostic Radiology (WA) |
|---|
Education and affiliations
| Medical school | University of Arkansas College of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Skagit Radiology Inc P SIrvine, CA · 40 clinicians
- Skagit Digital Imaging LLCMount Vernon, WA · 31 clinicians
Hospital affiliations
- Cascade Valley HospitalArlington, WA
- Skagit Valley HospitalMount Vernon, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 178 diagnostic radiologists in Little Rock · All diagnostic radiologists in Arkansas