NPIMap

Individual provider Active NPI

Andrew Sun, MD

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1184653669
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35078633 Issued in OH
Practice address
379 Dixmyth Ave
Cincinnati, OH 45220
Phone
(513) 246-7000
Fax
(513) 246-7590
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35078633 OH Primary

Addresses

Primary practice location

379 Dixmyth Ave
Cincinnati, OH 45220

Mailing address

4600 Wesley Ave
Ste N
Cincinnati, OH 45212-2298
Phone (513) 246-7800

Other identifiers 3

IdentifierTypeStateIssuer
200964400MedicaidIN
7100088000MedicaidKY
2282408MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.sun@gastrohealth.eclinicaldirectplus.com GCGA Physicians Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000605 OH Practitioner - Internal MedicinePractitioner - Gastroenterology 0345283750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

11333 Cornell Park Dr
Suite 200
Blue Ash, OH 45242-1813
Phone (513) 751-6667

2925 Vernon PL
Cincinnati, OH 45219-2425

7372 Liberty One Dr
Liberty Township, OH 45044-8872
Phone (513) 751-6667

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. Gastroenterology CurrentSince Dec 1, 2021 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Blue Ash Endoscopy Center, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Past Accepting new patients

Locations

11333 Cornell Park Dr
Ste 200
Blue Ash, OH 45242

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

4600 Wesley Ave
Ste N
Cincinnati, OH 45212
Phone (513) 246-7800

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400

2915 Clifton Ave
Cincinnati, OH 45220
Phone (513) 872-2000

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Fl 5
Cincinnati, OH 45220
Phone (513) 872-2440

10600 Montgomery Rd
Ste 200
Montgomery, OH 45242
Phone (513) 236-2697

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: andrew.sun@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 8

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 10

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1184653669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVE",
            "address_2": "STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122298",
            "telephone_number": "513-246-7800",
            "fax_number": "513-246-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45220",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35078633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200964400",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100088000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2282408",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.sun@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.