Kisti Pope Fuller, MD
NPI 1912165713ActiveIndividual· Obstetrics & Gynecology, Maternal & Fetal Medicine· Mesa, AZ
Obstetrics & Gynecology, Maternal & Fetal Medicine (MD) with Ihc Health Services Inc, practicing in Mesa, Arizona. Enrolled in Medicare as practitioner - obstetrics/gynecology and practitioner - obstetrics/gynecology.
Overview
| NPI | 1912165713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 28, 2008 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine Primary | 207VM0101X | 48767 | AZ |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 24641 | NV |
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) | Enrolled Practitioner - Obstetrics/Gynecology (AZ); Practitioner - Obstetrics/Gynecology (NV); Practitioner - Pediatric Medicine (UT) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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