Individual provider Active NPI

Shun K Sunder, M.D

  • Specialist
  • Lancaster, CA
National Provider Identifier
1376557132
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A26701 Issued in CA
Practice address
43860 N. 10TH St. West
Lancaster, CA 93534
Phone
(661) 726-3060
Fax
(661) 726-3723
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A26701 CA Primary

Addresses

Primary practice location

43860 N. 10TH St. West
Lancaster, CA 93534

Mailing address

43860 10TH St W
Lancaster, CA 93534-4848
Phone (661) 726-3058

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
I20060426000396 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123038874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43860 10TH St W
Lancaster, CA 93534-4848

43860 W 10TH St
Suite 203
Lancaster, CA 93534-4848

Hospital & facility affiliations

  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26701CAMDSpecialist
A26702CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunder Medical Clinic, Inc. CurrentSince Jul 14, 2012 Accepting new patients
Sunder Medical Clinic, Inc. CurrentSince Jul 31, 2008 Accepting new patients
Sivalingam Medical Corporation Inc Specialist Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Modern Nuclear, Inc. Past Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients

Locations

43860 10th St W
Ste 203
Lancaster, CA 93534
Phone (661) 726-3058

43860 10th St W
Lancaster, CA 93534
Phone (661) 726-3058

1535 N China Lake Blvd
Ste A
Ridgecrest, CA 93555
Phone (760) 446-1691

1535 N China Lake Blvd
Ste B
Ridgecrest, CA 93555
Phone (661) 945-8717

Organizations & group practices 7

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 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1376557132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43860 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344848",
            "telephone_number": "661-726-3058",
            "fax_number": "661-726-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43860 N. 10TH ST. WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-726-3060",
            "fax_number": "661-726-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDER",
        "first_name": "SHUN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A26701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.