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KATIE SULLIVAN MD
NPI 1730715830
Pediatrics - Pediatric Nephrology in Milwaukee, WI

Active since March 20, 2020PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVENUE, DIVISION OF PEDIATRIC NEPHROLOGY, MILWAUKEE, WI 53226(414) 337-7140(414) 337-7145 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2023, Aug 15, 2023, Mar 20, 2020 (3 updates tracked since 2020).

About Katie Sullivan Md NPPES

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

KATIE SULLIVAN MD (NPI 1730715830) is an individual pediatric nephrology provider in Milwaukee, Wisconsin, licensed in Wisconsin (82149) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730715830
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameKATIE SULLIVANCredential: MD
Location Address9000 W WISCONSIN AVENUE, DIVISION OF PEDIATRIC NEPHROLOGYMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Avenue, Division Of Pediatric NephrologyMilwaukee, WI 53226-4874 · (414) 337-7140 · Fax (414) 337-7145
Phone(414) 337-7140
Fax(414) 337-7145
Sole ProprietorNo
Enumeration DateMarch 20, 2020
Last NPPES UpdateSeptember 1, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1730715830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in WI · 82149
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
9000 W WISCONSIN AVENUE, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 1

Medicaid1730715830WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Sullivan 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

2

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

Children's Specialty Group, Inc.
Same address
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000
The Medical College Of Wisconsin, Inc.
0.1 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 14

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

CAROLINE WELLS MALONEY
Surgery (Pediatric Surgery)
9000 W WISCONSIN AVENUE, PEDIATRIC SURGERY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6550
MEGAN MARIE JABLONSKI MD
Anesthesiology (Pediatric Anesthesiology)
9000 W WISCONSIN AVENUE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3560
MRS. ALINA GEORGETA BUREK MD
Pediatrics
9000 W WISCONSIN AVENUE, PEDIATRIC HOSPITALIST DIVISION
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
JANETTE F STRASBURGER MD
Pediatrics (Pediatric Cardiology)
9000 W WISCONSIN AVENUE, PEDIATRIC CARDIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6457
CHARLOTTE FORMELLER
Pediatrics
9000 W WISCONSIN AVENUE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
CINDY SCHWARTZ MD
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVENUE, PEDIATRIC HEMATOLOGY AND ONCOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
HANNAH BRODNER MS, CGC
Genetic Counselor, MS
9000 W WISCONSIN AVENUE, PEDIATRIC GENETICS
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3347
RACHEL A. CAMBRAY M.D.
Anesthesiology (Pediatric Anesthesiology)
9000 W WISCONSIN AVENUE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3560

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 Katie Sullivan's NPI number?

The NPI number for Katie Sullivan is 1730715830. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Katie Sullivan located?

Katie Sullivan practices at 9000 W Wisconsin Avenue Division Of Pediatric Nephrology, Milwaukee, WI 53226. The listed phone number is (414) 337-7140.

What is Katie Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Katie Sullivan enrolled in Medicare?

Yes. Katie Sullivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katie Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Sullivan reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Katie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Sullivan accept?

Health plans from CareSource (Common Ground Healthcare) list Katie 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 Katie Sullivan was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.