Dr Kiah Nicole Sullivan, MD - Medicare Pediatric Medicine in Phoenix, AZ

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Dr Kiah Nicole Sullivan, MD is a medicare enrolled "Pediatrics" physician in Phoenix, Arizona. She went to Washington State University Elson S Floyd College Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-0945.

Dr Kiah Nicole Sullivan is licensed to practice in Arizona (license number 72815) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1811574403.

Contact Information

Dr Kiah Nicole Sullivan, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710
(602) 933-0945
Not Available

Map and Direction




Physician's Profile

Full NameDr Kiah Nicole Sullivan
GenderFemale
SpecialityPediatric Medicine
Experience5 Years
Location1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kiah Nicole Sullivan attended and graduated from Washington State University Elson S Floyd College Of Medicine in 2021
  NPI Data:
  • NPI Number: 1811574403
  • Provider Enumeration Date: 03/28/2021
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294266524
  • Enrollment ID: I20251028004086

Medical Identifiers

Medical identifiers for Dr Kiah Nicole Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811574403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 72815 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kiah Nicole Sullivan allows following entities to bill medicare on her behalf.
Entity NameKittitas County Public Hospital Dist 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356375307
PECOS PAC ID: 0547179608
Enrollment ID: O20040213000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kiah Nicole Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kiah Nicole Sullivan, MD
2108 E Thomas Rd Ste 130,
Phoenix, AZ 85016-0008

Ph: (602) 933-3124		Dr Kiah Nicole Sullivan, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710

Ph: (602) 933-0945

Reviews and Comments


Pediatrics Doctors in Phoenix, AZ

Dr. Amit Rajaram, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 602-933-0198    
Laura Gardner Hamant,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 602-933-1000    
Chrislyn Renee Wells, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 602-933-0945    
Dr. Patricia Ranjinee Halpe, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013
Phone: 602-914-1520    Fax: 602-914-1521
Dr. Angela Monique Valdez-huizar, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008
Phone: 602-933-0945    Fax: 602-933-4263
Benjmamin Thomas Carlson, PTA
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5314 N 7th St, Phoenix, AZ 85014
Phone: 602-277-5006    
Julianna Schoepf, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 602-933-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.