DR. KIAH NICOLE SULLIVAN MD
NPI 1811574403
Pediatrics in Phoenix, AZ

Q: What is Kiah Sullivan's NPI number?

The NPI number for Kiah Sullivan is 1811574403. It was assigned to this individual provider in the NPPES registry on March 28, 2021. The provider is also known as Kiah Nicole Jones.

Q: What is Kiah Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kiah Sullivan was last updated on August 13, 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 March 28, 2021PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0945 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, Mar 28, 2021 (2 updates tracked since 2021).

On this page

About Dr. Kiah Nicole Sullivan Md NPPES

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

DR. KIAH NICOLE SULLIVAN MD (NPI 1811574403) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (72815) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Washington State University Elson S Floyd College Of Medicine (2021).

NPPES Registry Identity

NPI1811574403

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KIAH NICOLE SULLIVANCredential: MD

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-0945

Sole ProprietorNo

Medical School CMSWashington State University Elson S Floyd College Of MedicineGraduated 2021

Enumeration DateMarch 28, 2021

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1811574403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 72815

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Names 1

Former Name (1)Kiah Nicole Jones

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Kiah Nicole Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294266524

PECOS Enrollment IDI20251028004086

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

Phoenix Children's Hospital

Same address

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

Kittitas County Public Hosp Dist 1

1,033 mi

Urology

611 S CHESTNUT ST STE C
Ellensburg, WA 98926

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: Kittitas County Public Hospital Dist 1
163 clinicians in this Medicare group

NPI 1437029832 (509) 962-9841

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. TIMUR RAGHIB M.D.

Hospitalist