Active NPI
Jingxin Sun, MD
- Hematology & Oncology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- U4350
- Practice address
- 2501 N Orange Ave
Suite 235
Orlando, FL 32804-4603 - Phone
- (407) 303-7331
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | U4350 | TX | Primary |
| Internal Medicine Physician | 207R00000X | U4350 | TX |
Addresses
Primary practice location
2501 N Orange Ave
Suite 235
Orlando, FL 32804-4603
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
11555 University Blvd
Sugar Land, TX 77478-3889
Phone (713) 442-9100
Other practice location 2
1001 Campbell Rd
Houston, TX 77055-7407
Phone (713) 442-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11555 University Blvd
Sugar Land, TX 77478-3889
Phone (713) 442-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
9110 Katy Fwy
Houston, TX 77055
Phone (713) 442-3800
1001 Campbell Rd
Houston, TX 77055
Phone (713) 442-5669
201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826
7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
11555 University Blvd
Sugar Land, TX 77478
Phone (713) 442-9100
Interoperability endpoints
- jsun63261@direct.kelsey-seybold.com
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.
-
dba Kelsey Seybold Clinic
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1285165423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE",
"address_2": "SUITE 235",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044603",
"telephone_number": "407-303-7331"
}
],
"practiceLocations": [
{
"address_1": "11555 University Blvd",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774783889",
"country_code": "US",
"telephone_number": "713-442-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Campbell Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770557407",
"country_code": "US",
"telephone_number": "713-442-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUN",
"first_name": "JINGXIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "U4350",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U4350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.