Individual provider Active NPI

Vinay A Sunku, MD

  • Nephrology Physician
  • Lancaster, CA
National Provider Identifier
1326039405
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A54362 Issued in CA
Practice address
43932 15TH St W Ste 101
Lancaster, CA 93534-5234
Phone
(661) 945-2299
NPI assigned
Oct 28, 2005
Reactivated
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A54362 CA Primary

Addresses

Primary practice location

43932 15TH St W Ste 101
Lancaster, CA 93534-5234

Mailing address

43932 15TH St W Ste 101
Lancaster, CA 93534-5234
Phone (661) 945-2299

Other identifiers 1

IdentifierTypeStateIssuer
00A543621MedicaidCA

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
I20061128000625 CA Practitioner - NephrologyPractitioner - Internal Medicine 8921006032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43932 15TH
Suite 101
Lancaster, CA 93534-5234
Phone (661) 945-2299

43932 15TH St W
Suite 101
Lancaster, CA 93534-5234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.57
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54362CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Kidney Institute, a Professional Corporation Current Accepting new patients
Antelope Valley Health Care District PastSince Nov 19, 2010 Accepting new patients

Locations

43932 15th St W
Ste 103
Lancaster, CA 93534
Phone (661) 945-7755

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFEBA/Endpoint/IBFEBA

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1326039405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43932 15TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345234",
            "telephone_number": "661-945-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43932 15TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345234",
            "telephone_number": "661-945-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNKU",
        "first_name": "VINAY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2010-11-18",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A54362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A543621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.