LESTER ADAMS GALLIVAN
NPI 1437787934
Psychiatry & Neurology - Neurodevelopmental Disabilities in Phoenix, AZ

Q: What is Lester Adams Gallivan's NPI number?

The NPI number for Lester Adams Gallivan is 1437787934. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Q: What is Lester Adams Gallivan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurodevelopmental Disabilities, with taxonomy code 2084P0005X.

Active since March 30, 2020PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0970(602) 933-4253 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2026, Mar 30, 2020 (2 updates tracked since 2020).

On this page

About Lester Adams Gallivan NPPES

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

LESTER ADAMS GALLIVAN (NPI 1437787934) is an individual neurodevelopmental disabilities provider in Phoenix, Arizona, licensed in Arizona (80484) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Indiana University School Of Medicine (2020).

NPPES Registry Identity

NPI1437787934

Entity TypeIndividualMale

Primary Taxonomy2084P0005X

Provider Legal NameLESTER ADAMS GALLIVAN

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas RdPhoenix, AZ 85016-7761 · (602) 933-3124

Phone(602) 933-0970

Fax(602) 933-4253

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2020

Enumeration DateMarch 30, 2020

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1437787934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians

Taxonomy Code2084P0005X

License✔ Licensed in AZ · 80484

Definition

A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 S Preston St Rm 113Louisville, KY 40202-1702 · Phone (502) 852-4277

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lester Adams Gallivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628537883

PECOS Enrollment IDI20260827003254

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.

Medicare Billing Reassignment

Medicare enrollment records show Lester Adams Gallivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Hospital

Same address

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. TIMUR RAGHIB M.D.

Hospitalist