Active NPI
Ke Sun, M.D.
- Internal Medicine Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101269909
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101269909 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot R Goldstein MD & Joel R Schulman MD PA | Current | 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 | 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 | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Chinese Culture and Community Service Center, Inc. | Current | Accepting new patients | |
| Elliot R Goldstein MD & Joel R Schulman MD PA | Internal Medicine | Current | Accepting new patients |
| Chinese Culture and Community Service Center, Inc. | Current | 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.
-
- Primary Care Clinic/Center
- Gaithersburg, MD
- NPI 1033509591
DC
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1164488300
DC
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Internal Medicine
-
- Occupational Therapist
- Gaithersburg, MD
- NPI 1891328563
-
- Durable Medical Equipment & Medical Supplies
- Gaithersburg, MD
- NPI 1679342422
-
- Health Maintenance Organization
- Abingdon, MD
- NPI 1265971873
-
- Health Maintenance Organization
- Gaithersburg, MD
- NPI 1831471713
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- In Home Supportive Care Agency
- Gaithersburg, MD
- NPI 1164807020
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.