Individual provider Active NPI

Elizabeth A Sun, M.D.

  • Specialist
  • Lansdale, PA
National Provider Identifier
1023087285
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD019862E Issued in PA
Practice address
815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone
(215) 257-5071
Fax
(215) 257-1801
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD019862E PA Primary

Addresses

Primary practice location

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390

Mailing address

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone (215) 257-5071

Other identifiers 1

IdentifierTypeStateIssuer
0900636MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120409000485 PA Practitioner - Gastroenterology 8426076001 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD019862EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 1, 2021 Accepting new patients
The Endoscopy Center LLC CurrentSince Nov 21, 2016 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 1, 2021 Accepting new patients
Montgomery County Gi Specialists Specialist Current Accepting new patients

Locations

190 W Germantown Pike
Ste 110
East Norriton, PA 19401
Phone (215) 257-5071

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

815 Sumneytown Pike
Ste 210
Lansdale, PA 19446
Phone (215) 257-5071

815 Sumneytown Pike
Ofc Cgi
Lansdale, PA 19446
Phone (215) 257-5071

700 W Germantown Pike
Ste 101
Norristown, PA 19403
Phone (610) 233-3660

1445 DeKalb St
Norristown, PA 19401
Phone (610) 275-6888

817 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-5071

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1023087285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 210",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 210",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD019862E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0900636",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.