Individual provider Active NPI

Michael Sung

  • Surgery Physician
  • Oakland, CA
National Provider Identifier
1225423072
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A144066 Issued in CA
Practice address
365 Hawthorne Ave Ste 101
Oakland, CA 94609-3115
Phone
(510) 465-5523
Fax
(510) 832-6061
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A144066 CA Primary

Addresses

Primary practice location

365 Hawthorne Ave Ste 101
Oakland, CA 94609-3115

Mailing address

365 Hawthorne Ave Ste 101
Oakland, CA 94609-3115
Phone (510) 465-5523

Other practice location 1

27206 Calaroga Ave Ste 206
Hayward, CA 94545-4300
Phone (510) 732-5731

Other practice location 2

3010 Colby St Ste 118
Berkeley, CA 94705-2059
Phone (510) 486-0818

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
I20200715000168 CA Practitioner - General Surgery 0547502023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Wisconsin, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

365 Hawthorne Ave
Suite 103
Oakland, CA 94609-3115
Phone (510) 204-1844

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144066CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Apr 10, 2021 Accepting new patients
Bass Medical Group CurrentSince Apr 10, 2021 Accepting new patients
Bass Medical Group Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3010 Colby St
Ste 118
Berkeley, CA 94705
Phone (510) 486-0818

27206 Calaroga Ave
Ste 206
Hayward, CA 94545
Phone (510) 732-5731

365 Hawthorne Ave
Ste 103
Oakland, CA 94609
Phone (510) 448-6772

365 Hawthorne Ave
Ste 101
Oakland, CA 94609
Phone (510) 465-5523

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA
  • Direct secure messaging: msung550808@hisp.ehr.sutterhealth.org
  • Direct secure messaging: msung137595@ehr.johnmuirhealth.com

Organizations & group practices 10

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1225423072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HAWTHORNE AVE STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093115",
            "telephone_number": "510-465-5523",
            "fax_number": "510-832-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HAWTHORNE AVE STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093115",
            "telephone_number": "510-465-5523",
            "fax_number": "510-832-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27206 Calaroga Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454300",
            "country_code": "US",
            "telephone_number": "510-732-5731",
            "fax_number": "510-732-5739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 Colby St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052059",
            "country_code": "US",
            "telephone_number": "510-486-0818",
            "fax_number": "510-486-0819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNG",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A144066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.