KATHLEEN E SULLIVAN M.D. PHD NPI 1831106863

NPI Information

  • NPI: 1831106863
  • Provider Name: KATHLEEN E SULLIVAN, M.D. PHD
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3550 MARKET ST FL 3
    CHILDREN'S HOSPITAL OF PHILADELPHIA - ALLERGY & IMMUN
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 590-2549

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NPI Details

Kathleen E Sullivan, M.D. PHD is a pediatric allergy/immunology pediatrics in Philadelphia, PA with 38 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Kathleen E Sullivan, M.D. PHD NPI is 1831106863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

3550 MARKET ST FL 3
CHILDREN'S HOSPITAL OF PHILADELPHIA - ALLERGY & IMMUN
PHILADELPHIA, PA
ZIP 19104-365
Phone: (215) 590-2549
Fax: (215) 590-4529

The NPI 1831106863 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 10/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMD050758LPENNSYLVANIANo
22080I0007XPediatricsClinical & Laboratory ImmunologyMD050758LPENNSYLVANIANo
32080P0201XPediatricsPediatric Allergy/ImmunologyMD050758LPENNSYLVANIAYes
42080P0216XPediatricsPediatric RheumatologyMD050758LPENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001431101MEDICAIDPENNSYLVANIA
25617308MEDICAIDNEW JERSEY
3F66425MEDICARE UPIN
4157944MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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