Individual provider Active NPI

Lishi Sun, MD

  • Hematology & Oncology Physician
  • Everett, WA
National Provider Identifier
1124548268
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
103374 Issued in GA
Practice address
1717 13TH St
Everett, WA 98201-1621
Phone
(425) 297-5500
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD61421119 WA
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X 103374 GA Primary

Addresses

Primary practice location

1717 13TH St
Everett, WA 98201-1621

Mailing address

1717 13TH St
Everett, WA 98201-1621
Phone (425) 297-5500

Other practice location 1

904 7th Ave
Seattle, WA 98104-1132
Phone (206) 860-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA2 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
I20230623003005 WA Practitioner - Hematology/Oncology 0749648673 Reassigns benefits to 2 organizations
I20250617003171 GA Practitioner - Hematology/Oncology 0749648673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

132 Old Norton Rd
Suite 200
Fayetteville, GA 30215-4873
Phone (678) 817-1117

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Internal Medicine Current Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology CurrentSince Jun 1, 2025 Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
The Polyclinic PLLC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
The Polyclinic CurrentSince Aug 7, 2023 Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Jun 1, 2025 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology Past Accepting new patients
Northside Imaging LLC Past Accepting new patients

Locations

132 Old Norton Rd
Ste 200
Fayetteville, GA 30215
Phone (678) 817-1117

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

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

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1717 13th St
Everett, WA 98201
Phone (425) 297-5500

1145 Broadway
Seattle, WA 98122

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: lishi.sun.p1@direct.gacancer.nextgenshare.com

Organizations & group practices 9

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.

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1124548268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 13TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011621",
            "telephone_number": "425-297-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 13TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011621",
            "telephone_number": "425-297-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041132",
            "country_code": "US",
            "telephone_number": "206-860-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "LISHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD61421119",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "103374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.