Individual provider Active NPI

Yan Qun Sun, M.D.

  • Orthopaedic Surgery Physician
  • Flushing, NY
National Provider Identifier
1497796478
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
220000 Issued in NY
Practice address
3830 Parsons Blvd Ste 1B
Flushing, NY 11354-5841
Phone
(718) 521-4206
Fax
(718) 321-1442
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 220000 NY Primary

Addresses

Primary practice location

3830 Parsons Blvd Ste 1B
Flushing, NY 11354-5841

Mailing address

PO Box 826
Stony Brook, NY 11790-0826
Phone (718) 321-4205

Other practice location 1

44-05 Parsons Blvd
Flushing, NY 11355-2183
Phone (718) 321-4205

Other identifiers 3

IdentifierTypeStateIssuer
02287245MedicaidNY
473F21OtherNYEMPIRE BC.BS
7618332OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050202000011 NY Practitioner - Orthopedic Surgery 4082665641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3830 Parsons Blvd
Flushing, NY 11354-5841
Phone (718) 521-4206

Hospital & facility affiliations

  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement87
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220000NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Orthopaedic Surgery PC Orthopaedic Surgery CurrentSince Nov 20, 2004 Accepting new patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor Orthopaedic Surgery PastSince Jun 18, 2012 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients

Locations

3830 Parsons Blvd
Ste 1B
Flushing, NY 11354
Phone (718) 321-0205

168 Canal St
Ste 312
New York, NY 10013
Phone (212) 343-8210

170 William St
Fl 5
New York, NY 10038
Phone (212) 312-5666

129 Main St
Unit 826
Stony Brook, NY 11790

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ysun15223@direct.medisys.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: yqs9001@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1497796478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900826",
            "telephone_number": "718-321-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PARSONS BLVD STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545841",
            "telephone_number": "718-521-4206",
            "fax_number": "718-321-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44-05 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552183",
            "country_code": "US",
            "telephone_number": "718-321-4205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "YAN",
        "middle_name": "QUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "220000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02287245",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC.BS",
            "identifier": "473F21",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.