Individual provider Active NPI

David Sun, MD

  • Neurological Surgery Physician
  • Louisville, KY
National Provider Identifier
1376690164
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
43463 Issued in KY
Practice address
210 E Gray St Ste 1105
Louisville, KY 40202-3907
Phone
(502) 583-1609
Fax
(502) 583-2120
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 43463 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

210 E Gray St Ste 1105
Louisville, KY 40202-3907

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 6

IdentifierTypeStateIssuer
200994400MedicaidIN
7100125110MedicaidKY
000052153XOtherKYHUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
000000671186OtherKYANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
P00861082OtherKYRAILROAD MEDICARE- NNIKY
50029799OtherKYPASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dsun11363@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100902001112 KY Practitioner - Neurosurgery 5496879066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2832
Phone (502) 446-6635

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2860
Phone (502) 446-6640

4955 Norton Healthcare Blvd
FL 2
Louisville, KY 40241-2832
Phone (502) 394-6350

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2010 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2010 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

676 S Floyd St
Ste 200B
Louisville, KY 40202
Phone (502) 583-1697

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

210 E Gray St
Ste 1105A
Louisville, KY 40202

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

4950 Norton Healthcare Blvd
Ste 205
Louisville, KY 40241
Phone (502) 394-6390

210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609

3 Audubon Plaza Dr
Ste LL2
Louisville, KY 40217
Phone (502) 636-8005

Interoperability endpoints

  • Direct secure messaging: dsun11363@direct.nortonhealthcare.org

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1376690164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST STE 1105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023907",
            "telephone_number": "502-583-1609",
            "fax_number": "502-583-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "43463",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200994400",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100125110",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "000052153X",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "000000671186",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- NNIKY",
            "identifier": "P00861082",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "50029799",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsun11363@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "210 E Gray St Ste 1105",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "210 E Gray St Ste 1105",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.