Doctor profile · Federal record
Dr. Aneesha Sullivan, PA-C
Physician Assistant · Child Mental Illness Respite Care · Phoenix, AZ
- NPI 1619151610
- Accepts Medicare
- 19 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
11034 N 23Rd Dr Ste 105B
Phoenix, AZ 850294743
(602) 639-0189
fax (844) 955-2502 - Additional location
-
9169 W van Buren St
Tolleson, AZ 853532942
(623) 233-6676
fax (602) 314-4579 - Mailing address
-
9169 W van Buren St
Tolleson, AZ 853532942
Credentials & registration
- NPI registered
- December 2007 — 19 yrs on file
- Profile last updated
- September 14, 2021
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Arizona #4842 · Arizona #5471496
- Medicaid
- AZ #669150
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619151610. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $16.54 |
By nature of payment
Frequently asked questions
What is Dr. Aneesha Sullivan's medical specialty?
Dr. Aneesha Sullivan practices Physician Assistant in Phoenix, AZ.
Where does Dr. Aneesha Sullivan practice?
Dr. Aneesha Sullivan practices at 11034 N 23Rd Dr Ste 105B, Phoenix, AZ 850294743. Office phone: 6026390189.
What is Dr. Aneesha Sullivan's NPI?
Dr. Aneesha Sullivan's National Provider Identifier (NPI) is 1619151610, issued by NPPES.
Does Dr. Aneesha Sullivan accept Medicare assignment?
Yes. Dr. Aneesha Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.