Individual provider Active NPI

Jingshuo Sun, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1194285544
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.152249 Issued in OH
Practice address
75 Francis St
Boston, MA 02115-6106
Phone
(617) 732-5500
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.152249 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6106

Mailing address

PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 547-3456

Other practice location 1

4805 Montgomery Rd Ste 150
Cincinnati, OH 45212-2280
Phone (513) 721-7226

Other practice location 2

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456

Other names 1

  • Derek Sun Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MA, KY, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20241220000765 OH Practitioner - Diagnostic Radiology 2163959768 Reassigns benefits to 2 organizations
I20250213000968 MA Practitioner - Diagnostic Radiology 2163959768 Reassigns benefits to 1 organization
I20250217001001 KY Practitioner - Diagnostic Radiology 2163959768 Reassigns benefits to 1 organization
I20250721001700 VA Practitioner - Diagnostic Radiology 2163959768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Radiology IncGroup PAC ID 0941298764, 41 clinicians
Town Center Imaging 2 LLCGroup PAC ID 2860910171, 21 clinicians
Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians

Practice addresses (Care Compare)

1282 Boylston St
Unit 820
Boston, MA 02215-4460
Phone (513) 872-4500

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 872-4500

4677 Columbus St
Suite 101
Virginia Beach, VA 23462-6746
Phone (757) 943-3660

4805 Montgomery Rd
Suite 150
Cincinnati, OH 45212-2280
Phone (513) 961-4700

60 Mercy CT
Irvine, KY 40336-1331
Phone (606) 723-2115

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Imaging 2 LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Riverhills Healthcare, Inc. Past Accepting new patients

Locations

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

4805 Montgomery Rd
Ste 410
Cincinnati, OH 45212
Phone (513) 241-2370

4805 Montgomery Rd
Ste 150
Cincinnati, OH 45212
Phone (513) 241-2370

4677 Columbus St
Ste 101
Virginia Beach, VA 23462
Phone (757) 943-3660

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

Organizations & group practices 4

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 5

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1194285544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133260725",
            "telephone_number": "607-547-3456",
            "fax_number": "607-547-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156106",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 Montgomery Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452122280",
            "country_code": "US",
            "telephone_number": "513-721-7226",
            "fax_number": "513-721-6330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Atwell Rd",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "NY",
            "postal_code": "133261301",
            "country_code": "US",
            "telephone_number": "607-547-3456",
            "fax_number": "607-547-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "JINGSHUO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.152249",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "SUN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.