Active NPI
Yifei Sun, M.D.
- Vascular Surgery Physician
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036.144675
- Practice address
- 1800 E Lake Shore Dr Ste 1500
Decatur, IL 62521-3810 - Phone
- (217) 464-1722
- Fax
- (217) 464-1717
- NPI assigned
- Jul 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2016016259 | MO | |
| Vascular Surgery Physician | 2086S0129X | 036.144675 | IL | Primary |
Addresses
Primary practice location
1800 E Lake Shore Dr Ste 1500
Decatur, IL 62521-3810
Mailing address
1800 E Lake Shore Dr Ste 105
Decatur, IL 62521-3810
Phone (217) 464-1722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ysun202711@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-2191
1800 E Lake Shore Dr 6TH FLR
Decatur, IL 62521-3810
Phone (217) 422-6100
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 422-6100
3 Saint Elizabeth Blvd
Suite 2800
O Fallon, IL 62269-1099
Phone (618) 233-6044
619 E Mason St
Springfield, IL 62701-1034
Phone (217) 788-0706
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- St Marys Hospital
- Decatur Memorial Hospital
- St Josephs Hospital
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 19 |
| Leg revascularization (restoring blood flow) | 26 |
| Removal of tissue | 117 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.144675 | IL | MD | Vascular Surgery Physician |
| 2016016259 | MO | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Cardiovascular Consultants LTD | Vascular Surgery | Current | Accepting new patients |
Locations
1800 E Lake Shore Dr
Ste 1500
Decatur, IL 62521
Phone (217) 464-1722
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
1800 E Lake Shore Dr
Ste 105
Decatur, IL 62521
1204 E Tremont St
Hillsboro, IL 62049
Phone (217) 324-8730
619 E Mason St
Ste 4P57
Springfield, IL 62701
619 E Mason St
Ste 4
Springfield, IL 62701
619 E Mason St
#4P57
Springfield, IL 62701
Interoperability endpoints
- ysun202711@ewd.direct.hshs.org
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
Vascular Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1477840833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E LAKE SHORE DR STE 105",
"city": "DECATUR",
"state": "IL",
"postal_code": "625213810",
"telephone_number": "217-464-1722",
"fax_number": "217-464-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E LAKE SHORE DR STE 1500",
"city": "DECATUR",
"state": "IL",
"postal_code": "625213810",
"telephone_number": "217-464-1722",
"fax_number": "217-464-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "YIFEI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2016016259",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036.144675",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ysun202711@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1800 E Lake Shore Dr Ste 105",
"city": "Decatur",
"state": "IL",
"country_code": "US",
"postal_code": "625213810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.