Individual provider Active NPI

Andrew Jordan Sun, M.D.

  • Urology Physician
  • Honolulu, HI
National Provider Identifier
1043630726
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A137673 Issued in CA
Practice address
1329 Lusitana St Ste 406
Honolulu, HI 96813-2412
Phone
(808) 599-7779
NPI assigned
Apr 22, 2014
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Urology Physician 208800000X A137673 CA Primary

Addresses

Primary practice location

1329 Lusitana St Ste 406
Honolulu, HI 96813-2412

Mailing address

1329 Lusitana St Ste 406
Honolulu, HI 96813-2412
Phone (808) 599-7779

Other practice location 1

300 Pasteur Drive
Grant S285
Stanford, CA 94305
Phone (650) 723-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20200623001407 HI Practitioner - Urology 9234551128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aloha Urology IncGroup PAC ID 9739246026, 5 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 406
Honolulu, HI 96813-2412
Phone (808) 599-7779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137673CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Urology West Oahu LLC Urology CurrentSince Sep 21, 2020 Accepting new patients
Aloha Urology, Inc. Urology CurrentSince Aug 10, 2020 Accepting new patients

Locations

91-2135 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 534-0777

1329 Lusitana St
Ste 406
Honolulu, HI 96813
Phone (808) 536-3690

1329 Lusitana St
Ste 506
Honolulu, HI 96813
Phone (808) 533-7311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGCFAA/Endpoint/HGCFAA

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1043630726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132412",
            "telephone_number": "808-599-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132412",
            "telephone_number": "808-599-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Drive",
            "address_2": "Grant S285",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "94305",
            "country_code": "US",
            "telephone_number": "650-723-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "ANDREW",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A137673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.