Individual provider Active NPI

Derek Sun, MD

  • Body Imaging Physician
  • San Francisco, CA
National Provider Identifier
1174898019
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
A125532 Issued in CA
Practice address
1600 Divisadero St
Room C250
San Francisco, CA 94115-3010
Phone
(415) 885-7464
Fax
(415) 885-7876
NPI assigned
Mar 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A125532 CA Primary

Addresses

Primary practice location

1600 Divisadero St
Room C250
San Francisco, CA 94115-3010

Mailing address

1600 Divisadero St
Room C250
San Francisco, CA 94115-3010
Phone (415) 885-7464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130529000895 CA Practitioner - Diagnostic Radiology 7416195607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000

1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-1000

185 Berry St
San Francisco, CA 94107-5705
Phone (415) 476-1000

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

2356 Sutter St
San Francisco, CA 94115-3006
Phone (415) 476-1000

2380 Sutter St
San Francisco, CA 94115-3006
Phone (415) 476-1000

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
86.44 of 100Reported as individual
Quality
95
Improvement activities
0
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125532CAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jul 1, 2013 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 15, 2013 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2013 Accepting new patients
University of California San Francisco CurrentSince Jun 15, 2013 Accepting new patients
University of California San Francisco CurrentSince Jun 15, 2013 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 15, 2013 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1600 Divisadero St
Rm C250
San Francisco, CA 94143
Phone (415) 885-7464

Interoperability endpoints

  • Direct secure messaging: dsun59380@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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 8

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": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1174898019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "ROOM C250",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-885-7464",
            "fax_number": "415-885-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "ROOM C250",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-885-7464",
            "fax_number": "415-885-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "DEREK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-10",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A125532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.