Mack Sullivan, MD

Public-record details

Address

44199 Dequindre Rd., Suite 518, Troy, MI 48085

Phone

(248) 524-0640

Listed under

Individual clinicians

NPI

1780683151

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Plastic Surgery (208200000X)

Credentials listed

MD

License number on NPI record

4301094101 (MI)

NPI first issued

Jul 19, 2005

NPI record last updated

Jan 15, 2013

NPI 1780683151 is active in the federal NPPES registry (CMS); license 4301094101 (MI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-02.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-02 and may be incomplete or out of date. Plastic Surgery Index does not vet, employ, recommend or guarantee plastic surgery practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Plastic Surgery Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1780683151 in the official registry ↗