Individual provider Active NPI

Ke Sun, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1457892655
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101269909 Issued in VA
Practice address
9805 Woodleigh LN
Fairfax, VA 22032-4060
Phone
(703) 259-9930
Fax
(703) 259-9940
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D89988 MD
Internal Medicine Physician 207R00000X MD27851 ME
Internal Medicine Physician 207R00000X 0101269909 VA Primary

Addresses

Primary practice location

9805 Woodleigh LN
Fairfax, VA 22032-4060

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (703) 259-9930

Other practice location 1

592 W Main St
Waldoboro, ME 04572-6030
Phone (207) 832-6394

Other practice location 2

2425 Geary Blvd
San Francisco, CA 94115-3358
Phone (415) 833-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200921000059 DC Practitioner - Internal Medicine 7214289487 Reassigns benefits to 3 organizations
I20210622000720 MD Practitioner - Internal Medicine 7214289487 Reassigns benefits to 1 organization
I20241014003749 VA Practitioner - Internal Medicine 7214289487

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803
Phone (301) 468-8999

9318 Gaither Rd
Suite 205
Gaithersburg, MD 20877-1409
Phone (240) 393-5950

9318 Gaither Rd
Suite 205
Gaithersburg, MD 20877-1416

9366 Gaither Rd
Gaithersburg, MD 20877-1416
Phone (301) 820-7200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101269909VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Apr 1, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Sep 8, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Internal Medicine Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Sep 8, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 17, 2021 Accepting new patients
Chinese Culture and Community Service Center, Inc. CurrentSince May 9, 2024 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA Internal Medicine CurrentSince Apr 1, 2026 Accepting new patients
Chinese Culture and Community Service Center, Inc. CurrentSince May 9, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Chinese Culture and Community Services Center, Inc. Past Accepting new patients

Locations

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

9318 Gaither Rd
Ste 205
Gaithersburg, MD 20877
Phone (240) 393-5950

9298 Gaither Rd
Gaithersburg, MD 20877
Phone (240) 393-5950

655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

2101 E Jefferson St
#4E
Rockville, MD 20852

2101 E Jefferson St
Ste 6W
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1457892655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "703-259-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 WOODLEIGH LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220324060",
            "telephone_number": "703-259-9930",
            "fax_number": "703-259-9940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "592 W Main St",
            "address_purpose": "LOCATION",
            "city": "Waldoboro",
            "state": "ME",
            "postal_code": "045726030",
            "country_code": "US",
            "telephone_number": "207-832-6394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Geary Blvd",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153358",
            "country_code": "US",
            "telephone_number": "415-833-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "KE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D89988",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27851",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101269909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "c-cda",
            "address_1": "655 Watkins Mill Rd",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208793301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.