Active NPI
Tung-Hsi John Sun, MD
- Family Medicine Physician
- Aurora, IL
National Provider Identifier
1215917653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036092634
- Practice address
- 101 South Broadway St.
Aurora, IL 60505-4276 - Phone
- (630) 896-7900
- Fax
- (630) 801-7809
- NPI assigned
- Jan 20, 2006
- Last updated
- Mar 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036092634 | IL | Primary |
Addresses
Primary practice location
101 South Broadway St.
Aurora, IL 60505-4276
Mailing address
101 South Broadway Street
Aurora, IL 60505-4276
Phone (630) 896-7900
Other names 1
- Dr. John Sun
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonaventure Medical Foundation, LLC | Family Medicine | Past | Accepting new patients |
| Fox Valley Immediate Care Center, LTD | Family Medicine | Past | Accepting new patients |
| Aunt Marthas Youth Service Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- tung-hsi.sun.1@13826.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Joliet, IL
- NPI 1821346115
-
dba Alexian Brothers Medical Foundation
- Family Medicine Physician
- Elk Grove Village, IL
- NPI 1588775647
-
- Family Medicine Physician
- East Dundee, IL
- NPI 1780908178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1215917653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SOUTH BROADWAY STREET",
"city": "AURORA",
"state": "IL",
"postal_code": "605054276",
"telephone_number": "630-896-7900",
"fax_number": "630-801-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTH BROADWAY ST.",
"city": "AURORA",
"state": "IL",
"postal_code": "605054276",
"telephone_number": "630-896-7900",
"fax_number": "630-801-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "TUNG-HSI",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036092634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "SUN",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.