Individual provider Active NPI

Alan C. Sun, M.D.

  • Hospitalist Physician
  • Longview, WA
National Provider Identifier
1104076843
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD60138073 Issued in WA
Practice address
1615 Delaware St
Longview, WA 98632-2367
Phone
(360) 501-3601
NPI assigned
Sep 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60138073 WA
Internal Medicine Physician 207R00000X MD437935 PA
Internal Medicine Physician 207R00000X A116779 CA
Internal Medicine Physician 207R00000X 253441 MA
Hospitalist Physician 208M00000X MD60138073 WA Primary

Addresses

Primary practice location

1615 Delaware St
Longview, WA 98632-2367

Mailing address

3600 Lind Ave SW
Suite 100 Attn: Credentialing
Renton, WA 98057
Phone (425) 228-3440

Other practice location 1

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3260

Other practice location 2

400 S 43rd St
Renton, WA 98055-5714
Phone (425) 228-3440 ext. 4322

Other identifiers 2

IdentifierTypeStateIssuer
G8967051OtherWAMEDICARE
2007196MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asun814689@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100922001264 WA Practitioner - Internal MedicinePractitioner - Hospitalist 2769518075 Reassigns benefits to 4 organizations
I20121129000208 MA Practitioner - HospitalistPractitioner - Internal Medicine 2769518075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

16850 SE 272ND St
Covington, WA 98042-4931

400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116779CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 15, 2017 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Multicare Health System Internal Medicine CurrentSince Oct 6, 2018 Accepting new patients
Valley Medical Group-Renton Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Coastal Medical Associates Hospitalist CurrentSince Feb 9, 2016 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Oct 26, 2020 Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 15, 2017 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Sep 6, 2012 Accepting new patients
Multicare Health System CurrentSince Oct 6, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients

Locations

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

3600 Lind Ave SW
Ste 100
Renton, WA 98057

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: asun814689@wm.providencedirect.org

Organizations & group practices 13

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.

View all 13

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1104076843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "SUITE 100 ATTN: CREDENTIALING",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "425-228-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-501-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S 43rd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555714",
            "country_code": "US",
            "telephone_number": "425-228-3440 x4322",
            "fax_number": "425-656-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "ALAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60138073",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD437935",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116779",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "253441",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60138073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8967051",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007196",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asun814689@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "914 S Scheuber Rd",
            "city": "Centralia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985319027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.