DR. KRYSTAL SULLY MD
NPI 1649531708
Psychiatry & Neurology - Epilepsy in Houston, TX

Q: What is Krystal Sully's NPI number?

The NPI number for Krystal Sully is 1649531708. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Q: What is Krystal Sully's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Sully was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 06, 2012PECOS Enrolled

6701 FANNIN ST STE 1250, HOUSTON, TX 77030(832) 822-1764 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, Jun 30, 2018 (2 updates tracked since 2018).

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About Dr. Krystal Sully Md NPPES

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

DR. KRYSTAL SULLY MD (NPI 1649531708) is an individual epilepsy provider in Houston, Texas, licensed in Texas (R8116) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649531708

Entity TypeIndividualFemale

Primary Taxonomy2084E0001X

Provider Legal NameDR. KRYSTAL SULLYCredential: MD

Location Address6701 FANNIN ST STE 1250Houston, TX 77030

Mailing Address6701 Fannin St Ste 1250Houston, TX 77030-2612 · (328) 822-1764

Phone(832) 822-1764

Sole ProprietorYes

Enumeration DateJune 6, 2012

Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1649531708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians

Taxonomy Code2084E0001X

License✔ Licensed in TX · R8116

Definition

Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License R8116 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 183206 (NC)

6701 FANNIN ST STE 1250, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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. Krystal Sully Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Krystal Sully reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Children's Physician Group

0.1 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

Baylor College Of Medicine

0.2 mi

Internal Medicine

6620 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1104867175 (713) 798-2500

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 15

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

NIKITA MALANI SHUKLA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)