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KATHERINE T SULLIVAN MD
NPI 1679530141
Obstetrics & Gynecology in Shenandoah, TX

Active since April 28, 2006Opted out of Medicare · through Oct 1, 2026
17183 INTERSTATE 45 S STE 410, SHENANDOAH, TX 77385(281) 602-7380(281) 602-7386 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 16, 2017 (2 updates tracked since 2017).

About Katherine T Sullivan Md NPPES

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

KATHERINE T SULLIVAN MD (NPI 1679530141) is an individual obstetrics & gynecology provider in Shenandoah, Texas, licensed in Texas (M1372) and active in the NPI registry since April 2006. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1679530141
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHERINE T SULLIVANCredential: MD
Location Address17183 INTERSTATE 45 S STE 410Shenandoah, TX 77385-3313
Mailing Address17183 Interstate 45 S Ste 410Shenandoah, TX 77385-3313 · (281) 602-7380 · Fax (281) 602-7386
Phone(281) 602-7380
Fax(281) 602-7386
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1679530141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M1372
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
17183 INTERSTATE 45 S STE 410, Shenandoah, TX 77385
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Other Identifiers 1

Medicaid176838401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine T Sullivan Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

ANDREA LOUISE RICHTER-WERNING MD
Obstetrics & Gynecology
17183 INTERSTATE 45 S STE 410
SHENANDOAH, TX 77385
Montgomery County (281) 602-7380
TARA LYN WINKELMANN M.D.
Obstetrics & Gynecology
17183 INTERSTATE 45 S STE 410
SHENANDOAH, TX 77385
Montgomery County (281) 602-7380
JENNIFER DUNN HUEBNER MD
Obstetrics & Gynecology
17183 INTERSTATE 45 S STE 410
SHENANDOAH, TX 77385
Montgomery County (832) 602-7380
ALL ABOUT WOMEN OBSTETRICS & GYNECOLOGY PLLC
Obstetrics & Gynecology
17183 INTERSTATE 45 S STE 410
SHENANDOAH, TX 77385
Montgomery County (281) 602-7380

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 Katherine Sullivan's NPI number?

The NPI number for Katherine Sullivan is 1679530141. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Katherine Sullivan located?

Katherine Sullivan practices at 17183 Interstate 45 S Ste 410, Shenandoah, TX 77385. The listed phone number is (281) 602-7380.

What is Katherine Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Sullivan enrolled in Medicare?

No. Katherine Sullivan has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Katherine Sullivan accept?

Health plans from Community Health Choice, UnitedHealthcare and WellPoint list Katherine Sullivan 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 Katherine Sullivan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.