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

Kisti Pope Fuller, MD

Individual provider Maternal & Fetal Medicine Physician · NPI 1912165713

Kisti Pope Fuller, MD is a Pediatric Medicine in Mesa, Arizona. Qualified in 2007, 19 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Nevada.

Years since qualifying
19
Licensed in
AZ, NV
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1840 S Stapley Dr Ste 131
Mesa, AZ 85204-6683
Phone: (480) 866-8787
Fax: (480) 863-9770
Show map & directions

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

Additional practice locations (2)

  • 2222 E Highland Ave Ste 210, Phoenix, AZ 85016-4876 — (480) 866-8787
  • 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 — (702) 216-3346

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 48767 (AZ)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X · Licence 24641 (NV)

Record details

NPI number1912165713
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2008
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address4343 N Scottsdale Rd Ste 150, Scottsdale, AZ 85251-3351

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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