Organization Active NPI

Sun Health Group Inc

  • Family Medicine Physician
  • Dyer, IN
National Provider Identifier
1033937313
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUN HEALTH GROUP INC
Practice address
618 Shannon BRG
Dyer, IN 46311-1667
Phone
(732) 335-6515
Fax
(732) 305-8026
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Dr. Truptiben Dipen Patel, MDNPI 1275067225
Title
Owner
Phone
(732) 335-6515

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: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

618 Shannon BRG
Dyer, IN 46311-1667

Mailing address

618 Shannon BRG
Dyer, IN 46311-1667
Phone (732) 335-6515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241024001881 IN Part B Supplier - Clinic/Group Practice 8123551595 Receives reassigned benefits from 1 practitioner
Practice locations: Dyer, IN

National Provider Directory

National Provider Directory

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": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1033937313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SHANNON BRG",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111667",
            "telephone_number": "732-335-6515",
            "fax_number": "732-305-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SHANNON BRG",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111667",
            "telephone_number": "732-335-6515",
            "fax_number": "732-305-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRUPTIBEN",
        "authorized_official_middle_name": "DIPEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-335-6515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.