DR. KASIEMOBI EBELECHUKWU PULLIAM MD
NPI 1568826162
Surgery - Pediatric Surgery in Saint Louis, MO
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kasiemobi Ebelechukwu Pulliam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kasiemobi Pulliam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 14 clinicians in this Medicare group
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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.
Which organization bills Medicare for Kasiemobi Pulliam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kasiemobi Pulliam reassigns Medicare benefits to Washington University (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kasiemobi Pulliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kasiemobi Pulliam accept?
Health plans from UnitedHealthcare list Kasiemobi Pulliam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 12 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.
# Dr. Kasiemobi Ebelechukwu Pulliam, MD · NPI 1568826162
Pediatric Surgery physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 9, 2016.
## Identity
- **NPI:** 1568826162 (Entity type: Individual)
- **Enumerated:** April 9, 2016
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 2025030530 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PL, DIV SURG PLASTICS, STE 2A, Saint Louis, MO 63110-1002
- **Phone:** (314) 362-7388 · **Fax:** (833) 301-0853
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Washington University (NPI 1427098938, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568826162) · Data from the CMS NPPES public registry.