Individual provider Active NPI

Michael Philip Sun

  • Hematology & Oncology Physician
  • Norwich, CT
National Provider Identifier
1013448232
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
77019 Issued in CT
Practice address
111 Salem Tpke
Norwich, CT 06360-7403
Phone
(860) 886-0023
Fax
(860) 886-0024
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 77019 CT Primary

Addresses

Primary practice location

111 Salem Tpke
Norwich, CT 06360-7403

Mailing address

1290 Silas Deane Highway
HHC - Cvo
Wethersfield, CT 06109-4337

Other practice location 1

85 Retreat Ave
Hartford, CT 06106-2555
Phone (860) 972-4183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801004318 CT Practitioner - Hematology/Oncology 3173861309 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

100 Retreat Ave
Hartford, CT 06106-2508
Phone (860) 549-7970

100 Retreat Ave
Hartford, CT 06106-2528
Phone (860) 545-5000

111 Park St
Hartford, CT 06106-2520
Phone (860) 972-2780

118 Main St
Hartford, CT 06106-1817
Phone (860) 827-7690

119 Washington St
Hartford, CT 06106-4406
Phone (860) 827-7690

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

132 Jefferson St
Hartford, CT 06106-2404
Phone (860) 972-0200

150 Charter Oak Ave
Hartford, CT 06106-5102
Phone (860) 827-7690

151 Hillside Ave
Hartford, CT 06106-3527
Phone (860) 951-1060

175 Main St
Hartford, CT 06106-1818
Phone (860) 827-7690

200 Retreat Ave
Hartford, CT 06106-3310
Phone (860) 545-7500

2800 Main St
Bridgeport, CT 06606-4201

282 Washington St
Hartford, CT 06106-3322

31 Seymour St
FL 2
Hartford, CT 06106-5521
Phone (860) 972-0050

32 Seymour St
Hartford, CT 06106-3321
Phone (860) 696-5950

35 Seymour St
Hartford, CT 06106-5521
Phone (860) 827-7690

560 Hudson St
Suite 253
Hartford, CT 06106-2501
Phone (860) 972-4444

614 New Britain Ave
Hartford, CT 06106-4033
Phone (860) 827-7690

705 New Britain Ave
Avery Heights
Hartford, CT 06106-4039
Phone (860) 527-4663

75 Main St
Hartford, CT 06106-1806
Phone (860) 827-7690

79 Retreat Ave
Hartford, CT 06106-2527
Phone (860) 972-2176

80 Seymour St
Hartford, CT 06102-8000

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 827-7690

90 Retreat Ave
Hartford, CT 06106-2535
Phone (860) 560-2274

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77019CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Sep 1, 2024 Accepting new patients
SVMC Holdings, Inc CurrentSince Sep 1, 2024 Accepting new patients
The William W Backus Hospital Current Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Hartford Hospital CurrentSince Sep 1, 2024 Accepting new patients
Hartford Hospital CurrentSince Sep 1, 2024 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
The William W Backus Hospital Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

425 Post Rd
Ste 204
Fairfield, CT 06824
Phone (203) 254-1576

85 Retreat Ave
Hartford, CT 06106
Phone (860) 249-6291

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

111 Salem Tpke
Norwich, CT 06360
Phone (860) 425-5900

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: michael.sun@xdr.hhchealthdirect.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1013448232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HIGHWAY",
            "address_2": "HHC - CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SALEM TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607403",
            "telephone_number": "860-886-0023",
            "fax_number": "860-886-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Retreat Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061062555",
            "country_code": "US",
            "telephone_number": "860-972-4183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "MICHAEL",
        "middle_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "77019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.