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MONIKA MARIE SULLIVAN DO
NPI 1083243919
Pediatrics - Pediatric Nephrology in Palo Alto, CA

Active since April 03, 2020PECOS Enrolled
453 QUARRY RD, PALO ALTO, CA 94304(415) 529-0255 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Apr 3, 2020 (2 updates tracked since 2020).

About Monika Marie Sullivan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIKA MARIE SULLIVAN DO (NPI 1083243919) is an individual pediatric nephrology provider in Palo Alto, California, licensed in California (20A20873) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083243919
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameMONIKA MARIE SULLIVANCredential: DO
Location Address453 QUARRY RDPalo Alto, CA 94304-1419
Mailing Address453 Quarry RdPalo Alto, CA 94304-1419
Phone(415) 529-0255
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1083243919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in CA · 20A20873
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
453 QUARRY RD, Palo Alto, CA 94304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monika Marie Sullivan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM BAI LU JI
Radiology (Diagnostic Radiology)
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 725-6344
JOY QIYUE HE MD, PHD
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 723-2300
DHIRAJ J PANGAL
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 723-5575
MEGAN CORN
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 498-7570
EMMA SINGLETON
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 725-6079
EMILY YANG
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
NICOLE GENE NEELEY MD
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (844) 733-2762
DUNCAN STUART FERGUSON MD
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 498-4821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monika Sullivan's NPI number?

The NPI number for Monika Sullivan is 1083243919. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Monika Sullivan located?

Monika Sullivan practices at 453 Quarry Rd, Palo Alto, CA 94304. The listed phone number is (415) 529-0255.

What is Monika Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Monika Sullivan enrolled in Medicare?

Yes. Monika Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Monika Sullivan was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.