Kelly Ingrid Sullivan, MD
NPI 1043492291ActiveIndividual· Pediatrics· College Station, TX
Pediatrics (MD) in College Station, Texas, licensed in TX, with an NPI issued in November 2007. Revance Therapeutics, Inc. reported $27.28 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1043492291 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 29, 2007 |
| Last updated in NPPES | May 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | N1166 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$27.28 · 1 payment from 1 company
- 2024$161.20 · 9 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $27.28 | 1 |
What the 2025 payments were for
- Food and Beverage$27.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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