Organization Active NPI

Sunrise Medical Group Inc

  • Internal Medicine Physician
  • Mansfield, OH
National Provider Identifier
1487182770
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNRISE MEDICAL GROUP INC
Practice address
370 Cline Ave Ste B3
Mansfield, OH 44907-1057
Phone
(216) 406-9321
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Bashar Alalao, MDNPI 1720236862
Title
Owner
Phone
(216) 406-9321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

370 Cline Ave Ste B3
Mansfield, OH 44907-1057

Mailing address

PO Box 3806
Mansfield, OH 44907-3806
Phone (216) 406-9321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170628001175 OH Part B Supplier - Clinic/Group Practice 1557630969 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, OH; Lexington, OH; Ashland, OH

National Provider Directory

National Provider Directory

Locations

600 Enterprise Pkwy
Ravenna, OH 44266
Phone (330) 297-5846

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1487182770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3806",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449073806",
            "telephone_number": "216-406-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CLINE AVE STE B3",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071057",
            "telephone_number": "216-406-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ALALAO",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-406-9321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.