DR. KIAH NICOLE SULLIVAN MD
NPI 1811574403
Pediatrics in Phoenix, AZ
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kiah Nicole Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
PHOENIX, AZ 85016
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 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.
Where is Kiah Sullivan located?
Kiah Sullivan practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0945.
What is Kiah Sullivan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kiah Sullivan enrolled in Medicare?
Yes. Kiah Sullivan is registered in the Medicare PECOS enrollment system.
What insurance does Kiah Sullivan accept?
Health plans from Blue Cross Blue Shield of Arizona list Kiah 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 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.
# Dr. Kiah Nicole Sullivan, MD · NPI 1811574403
Pediatrics physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since March 28, 2021.
## Identity
- **NPI:** 1811574403 (Entity type: Individual)
- **Enumerated:** March 28, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 72815 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 E THOMAS RD, Phoenix, AZ 85016-7710
- **Phone:** (602) 933-0945
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Washington State University Elson S Floyd College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811574403) · Data from the CMS NPPES public registry.