DR. KASIEMOBI EBELECHUKWU PULLIAM MD
NPI 1568826162
Surgery - Pediatric Surgery in Saint Louis, MO

Q: What is Kasiemobi Pulliam's NPI number?

The NPI number for Kasiemobi Pulliam is 1568826162. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Q: What is Kasiemobi Pulliam's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Kasiemobi Pulliam was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since April 09, 2016PECOS Enrolled

1 CHILDRENS PL, DIV SURG PLASTICS, STE 2A, SAINT LOUIS, MO 63110(314) 362-7388(833) 301-0853 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kasiemobi Ebelechukwu Pulliam Md NPPES

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

DR. KASIEMOBI EBELECHUKWU PULLIAM MD (NPI 1568826162) is an individual pediatric surgery provider in Saint Louis, Missouri, licensed in Missouri (2025030530) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2016).

NPPES Registry Identity

NPI1568826162

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameDR. KASIEMOBI EBELECHUKWU PULLIAMCredential: MD

Location Address1 CHILDRENS PL, DIV SURG PLASTICS, STE 2ASaint Louis, MO 63110-1002

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7388 · Fax (833) 301-0853

Phone(314) 362-7388

Fax(833) 301-0853

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2016

Enumeration DateApril 9, 2016

Last NPPES UpdateOctober 21, 2025

✔ NPI 1568826162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in MO · 2025030530

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

1 CHILDRENS PL, Saint Louis, MO 63110

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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)

Dr. Kasiemobi Ebelechukwu Pulliam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688967367

PECOS Enrollment IDI20251209001784

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.

ARIE BAKER MSW, LCSW

Social Worker (Clinical)

1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110

St. Louis City (314) 747-6169

HANNAH EDELMAN MD, PHD

Psychiatry & Neurology (Neurology)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

SUSAN CHEUNG WALSH AUD

Audiologist-Hearing Aid Fitter

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-4649

MS. JENNIFER MARIE JACOBI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

MS. EMILY LINCOLN RN, NNP-BC

Nurse Practitioner (Neonatal, Critical Care)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

MS. MARISSA ROSE PEREZ-MAGNELLI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

DR. WILLIAM L RIVES MD

Hospitalist

1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2076

DR. PETER M KILBRIDGE MD

Pediatrics

1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2479

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 Kasiemobi Pulliam's NPI number?

The NPI number for Kasiemobi Pulliam is 1568826162. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Where is Kasiemobi Pulliam located?

Kasiemobi Pulliam practices at 1 Childrens Pl Div Surg Plastics, Ste 2A, Saint Louis, MO 63110. The listed phone number is (314) 362-7388.

What is Kasiemobi Pulliam's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kasiemobi Pulliam enrolled in Medicare?

Yes. Kasiemobi Pulliam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kasiemobi Pulliam was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.