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MARY ELAINE KILLIAN M.D.
NPI 1649536350
Urology - Pediatric Urology in Memphis, TN

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment
51 N DUNLAP ST, MEMPHIS, TN 38105(901) 287-7337(901) 937-6691 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2020, Aug 12, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Mary Elaine Killian M.d. NPPES

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

MARY ELAINE KILLIAN M.D. (NPI 1649536350) is an individual pediatric urology provider in Memphis, Tennessee, licensed in Tennessee (59126) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Alabama School Of Medicine (2012).

NPPES Registry Identity

NPI1649536350
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameMARY ELAINE KILLIANCredential: M.D.
Location Address51 N DUNLAP STMemphis, TN 38105-4625
Mailing Address850 Poplar Ave, Bldg 2Memphis, TN 38105-4607
Phone(901) 287-7337
Fax(901) 937-6691
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2012
Enumeration DateApril 6, 2012
Last NPPES UpdateJanuary 28, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1649536350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in TN · 59126
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License 59126 (TN)
51 N DUNLAP ST, Memphis, TN 38105
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Secondary Practice Locations 4

Location 1619 19th St SBirmingham, AL 35249-1900 · Phone (205) 934-3065
Location 21920 Kirby Pkwy Ste 100Memphis, TN 38138-3654 · Phone (901) 287-7337
Location 3800 S Church St Ste 104Jonesboro, AR 72401-4154 · Phone (870) 336-1778 · Fax (870) 366-1780
Location 4262 Danny Thomas PlMemphis, TN 38105-3678 · Phone (901) 595-3300

Other Identifiers 2

Medicaid05235086MS
MedicaidQ050619TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Elaine Killian M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729238886
PECOS Enrollment IDI20190812000105
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 Mary Killian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Lebonheur Pediatric Specialists, Inc.
0.2 mi
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337

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.

SWETHA GANNARAPU
Student in an Organized Health Care Education/Training Program
51 N DUNLAP ST
MEMPHIS, TN 38105
Shelby County (901) 287-7337
DR. LINDA K MYERS MD
Pediatrics (Pediatric Rheumatology)
51 N DUNLAP ST
MEMPHIS, TN 38105
Shelby County (901) 287-7337
DR. TONIA ELIZABETH GARDNER M.D.
Pediatrics (Pediatric Pulmonology)
51 N DUNLAP ST, STE. 400
MEMPHIS, TN 38105
Shelby County (901) 287-7337
SARAH MEGAN LANE MD
Pediatrics (Developmental - Behavioral Pediatrics)
51 N DUNLAP ST
MEMPHIS, TN 38105
Shelby County (901) 287-7337
NEIL CHANDRAKANT TAILOR M.D.
Internal Medicine (Interventional Cardiology)
51 N DUNLAP ST
MEMPHIS, TN 38105
Shelby County (901) 287-7337
DR. ALICIA MARIE DIAZ-THOMAS MD
Pediatrics (Pediatric Endocrinology)
51 N DUNLAP ST, SUITE 230
MEMPHIS, TN 38105
Shelby County (901) 347-8439
JESSICA MUELLER
Dietitian, Registered (Nutrition, Pediatric)
51 N DUNLAP ST
MEMPHIS, TN 38105
Shelby County (901) 426-8644
AMANDA LEE SCOTT AU.D.
Audiologist
51 N DUNLAP ST
MEMPHIS, TN 38105
Shelby County (901) 287-6645

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 Mary Killian's NPI number?

The NPI number for Mary Killian is 1649536350. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Mary Killian located?

Mary Killian practices at 51 N Dunlap St, Memphis, TN 38105. The listed phone number is (901) 287-7337.

What is Mary Killian's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Mary Killian enrolled in Medicare?

Yes. Mary Killian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Killian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Killian reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). 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 Mary Killian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Killian accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Mary Killian 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 Mary Killian was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.