KYLA M TOLLIVER MD
NPI 1669850780
Pediatrics - Pediatric Gastroenterology in Indianapolis, IN

Q: What is Kyla Tolliver's NPI number?

The NPI number for Kyla Tolliver is 1669850780. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Q: What is Kyla Tolliver's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Kyla Tolliver was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 08, 2015PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-3774(317) 944-8521 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Jul 12, 2022, Jun 8, 2022 and 1 more (4 updates tracked since 2018).

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About Kyla M Tolliver Md NPPES

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

KYLA M TOLLIVER MD (NPI 1669850780) is an individual pediatric gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01080242A) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2015).

NPPES Registry Identity

NPI1669850780

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameKYLA M TOLLIVERCredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 944-3774

Fax(317) 944-8521

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2015

Enumeration DateMay 8, 2015

Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1669850780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in IN · 01080242A

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid300014087IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyla M Tolliver Md 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 ID8527373554

PECOS Enrollment IDI20241023000441

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)