Individual provider Active NPI

Yun-Lai Sun, MD

  • General Practice Physician
  • Lorain, OH
National Provider Identifier
1225120132
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35040233 Issued in OH
Practice address
5295 Oberlin Ave
Lorain, OH 44053-3435
Phone
(440) 282-7679
Fax
(440) 282-5742
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35040233 OH Primary

Addresses

Primary practice location

5295 Oberlin Ave
Lorain, OH 44053-3435

Mailing address

5295 Oberlin Ave
Lorain, OH 44053-3435
Phone (440) 282-7679

Other identifiers 1

IdentifierTypeStateIssuer
0472877MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101118001148 OH Practitioner - General Practice 5698961498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5295 Oberlin Ave
Lorain, OH 44053-3454
Phone (440) 282-7651

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35040233OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yun-Lai Sun MD Inc General Practice CurrentSince May 1, 1993 Accepting new patients

Locations

5295 Oberlin Ave
Lorain, OH 44053
Phone (440) 282-7651

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1225120132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533435",
            "telephone_number": "440-282-7679",
            "fax_number": "440-282-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533435",
            "telephone_number": "440-282-7679",
            "fax_number": "440-282-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "YUN-LAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35040233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472877",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.