Sam Sun, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

74421 Issued in AZ

Practice address

1710 N 159TH Ave
Goodyear, AZ 85395

Phone

(623) 312-3020

Fax

(623) 487-6747

NPI assigned

May 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, AZ2 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 2

Specialty

Radiation Oncology

Education

Washington University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssun379546@christushealth.direct-ci.net
• Direct secure messaging: ssun823185@direct.sw.org

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.

• Ironwood Physicians, PC

  dba Ironwood Cancer & Research Centers, PC

  • Hematology & Oncology Physician
  • Chandler, AZ
  • NPI 1740269299

  Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Medicare reassignment NPD
• Ironwood Physicians, PC

  • Hematology & Oncology Physician
  • Goodyear, AZ
  • NPI 1598514408
  NPD
• Ironwood Physicians, PC

  • Hematology & Oncology Physician
  • Mesa, AZ
  • NPI 1851912158
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Children's Hospital

  dba Covenant Children's Hospital

  • Children's Hospital
  • Lubbock, TX
  • NPI 1437171568
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1235584855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N 159TH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-312-3020",
            "fax_number": "623-487-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "74421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Successful Journeys, LLC
• Milvia Nwunfor Suh Fominyam, FNP-BC
• Glenda Sullivan
• Kafilat Sumon
• Sun Valley Urgent Care
• William Li Sun, MD
• David T Sung, D.M.D.
• Gopinath S Sunil, MD
• Sunrise Assisted Living Home LLC (Sunrise Assisted Living Home)
• Sunrise Mountain Behavioral Health

• Radiation Oncology Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.