Sun Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

28033 Issued in AZ

Legal business name

SUN RADIOLOGY PC

Practice address

16222 N 59TH Ave Ste C150
Glendale, AZ 85306-1747

Phone

(623) 815-8200

Fax

(623) 815-8299

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Manntej S Sra, M.D.NPI 1053320770

Title

Ceo

Phone

(602) 705-1353

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Sun Imaging Associates PLC

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1669814273

  Member Of

  NPD member

Interoperability endpoints

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manntej S Sra, M.D.

  • Diagnostic Radiology Physician
  • Peoria, AZ
  • NPI 1053320770
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689465600000",
    "number": "1124143011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE A102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813688",
            "telephone_number": "623-815-2000",
            "fax_number": "623-815-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE STE C150",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061747",
            "telephone_number": "623-815-8200",
            "fax_number": "623-815-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13943 N 91st Ave Ste A102",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85381",
            "country_code": "US",
            "telephone_number": "623-815-8200",
            "fax_number": "623-815-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUN RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "SRA",
        "authorized_official_first_name": "MANNTEJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-705-1353",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "28033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260762",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Group Arizona LLC
• Teresa Ann Sumpter-Sage, LPN
• Sun City Clinical Research
• Sun Imaging Associates PLC
• Sun Orthodontics, LLC
• Sun Valley Geriatric Medicine, P.C.
• Sun Valley Medical Group
• Jeffrey Sun
• Robert B Sun, OD
• Sunlight Medical Services PLLC

• Diagnostic Radiology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; 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.