MARY ELAINE KILLIAN (M.D.) – Pediatric Urology Physician, NPI 1649536350
Pediatric Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
788 PEDIATRIC MEDICINE in TN
Provider Addresses for MARY ELAINE KILLIAN (M.D.)
51 N DUNLAP ST
MEMPHIS, TN 381054625
Phone: (901) 287-7337
Fax: (901) 937-6691
Type: Location
619 19th St S
Birmingham, AL 352491900
Phone: (205) 934-3065
Type: Location
800 S Church St Ste 104
Jonesboro, AR 724014154
Phone: (870) 336-1778
Fax: (870) 366-1780
Type: Location
1920 Kirby Pkwy Ste 100
Memphis, TN 381383654
Phone: (901) 287-7337
Type: Location
262 Danny Thomas Pl
Memphis, TN 381053678
Phone: (901) 595-3300
Type: Location
850 POPLAR AVE
BLDG 2
MEMPHIS, TN 381054607
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190812000105 | I | Pediatric Medicine | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MS | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional Cardiology | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| Nephrology, Pediatric Medicine, Nephrology, Pediatric Medicine | TX | |
| Internal Medicine, Nephrology, Pediatric Medicine, Nephrology | TN | |
| Pediatric Medicine, Nephrology | TX |
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