Organization Active NPI

Sun Family Practice Associates, PA

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1013189208
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9912 Issued in TX
Legal business name
SUN FAMILY PRACTICE ASSOCIATES, PA
Practice address
11609 Spring Cypress Rd Ste a
Tomball, TX 77377-8917
Phone
(281) 357-8588
Fax
(281) 357-8877
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Sun, MDNPI 1821082165
Title
President
Phone
(281) 357-8588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K9912 TX Primary

Addresses

Primary practice location

11609 Spring Cypress Rd Ste a
Tomball, TX 77377-8917

Mailing address

11609 Spring Cypress Rd Ste a
Tomball, TX 77377-8917
Phone (281) 357-8588

Other identifiers 1

IdentifierTypeStateIssuer
208810601MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SunFamilyPractice@SFPAP-TX.direct.office.nextgen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000122 TX Part B Supplier - Clinic/Group Practice 3476620071 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0991854Sun Family Practice Assoc, PA11609 Spring Cypress, Suite a, Tomball, TX 77377Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

11609 Spring Cypress Rd
Tomball, TX 77377

13628 Michel Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-8588

Interoperability endpoints

  • Direct secure messaging: sunfamilypractice@sfpap-tx.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1013189208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11609 SPRING CYPRESS RD STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778917",
            "telephone_number": "281-357-8588",
            "fax_number": "281-357-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11609 SPRING CYPRESS RD STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778917",
            "telephone_number": "281-357-8588",
            "fax_number": "281-357-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN FAMILY PRACTICE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-357-8588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208810601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SunFamilyPractice@SFPAP-TX.direct.office.nextgen.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11609 Spring Cypress Rd Ste A",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773778917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.