Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aneesha Hanan Bakir Sullivan, PA-C

Individual provider Child Mental Illness Respite Care · NPI 1619151610

Aneesha Hanan Bakir Sullivan, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2007, 19 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11034 N 23rd Dr Ste 105B
Phoenix, AZ 85029-4743
Phone: (602) 639-0189
Fax: (844) 955-2502
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9169 W Van Buren St, Tolleson, AZ 85353-2942 — (623) 233-6676

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4842 (AZ)
Child Mental Illness Respite Care Taxonomy 385HR2055X · Licence 5471496 (AZ)

Record details

NPI number1619151610
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 27, 2007
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix