NPIMap

Individual provider Active NPI

Michael John Sundborg, M.D.

  • Gynecologic Oncology Physician
  • Southern Pines, NC
National Provider Identifier
1508857962
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
2009-00486 Issued in NC
Practice address
145 Applecross Rd
Southern Pines, NC 28388-0749
Phone
(910) 692-7928
Fax
(910) 692-5962
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 2009-00486 NC Primary

Addresses

Primary practice location

145 Applecross Rd
Southern Pines, NC 28388-0749

Mailing address

145 Applecross Rd
Southern Pines, NC 28388-0749
Phone (910) 692-7928

Other identifiers 1

IdentifierTypeStateIssuer
5920428MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000481 NC Practitioner - Gynecological Oncology 8820257850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-20, LLCGroup PAC ID 1355774670, 3 clinicians

Practice addresses (Care Compare)

220 Page Rd
Pinehurst, NC 28374-8748
Phone (910) 715-8684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.07 of 100Reported as group
Quality
81.07
Promoting interoperability
91
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00486NCMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jul 1, 2013 Accepting new patients
MCPC-12, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2013 Accepting new patients
Firsthealth of the Carolinas, Inc. CurrentSince Jul 1, 2013 Accepting new patients
MCPC-20, LLC Gynecologic Oncology CurrentSince Oct 1, 2019 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
MCPC-12, LLC CurrentSince Jul 1, 2013 Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

5 First Village Dr
Ste 100
Pinehurst, NC 28374
Phone (910) 692-7928

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500

10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555

313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350

110 Medical Cir
Rockingham, NC 28379
Phone (910) 410-9494

522 Allen St
Troy, NC 27371
Phone (910) 571-5170

Interoperability endpoints

  • Direct secure messaging: msundborg13257@firsthealth.direct-ci.net

Organizations & group practices 7

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 5

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1508857962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283880749",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283880749",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBORG",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NC",
            "license": "2009-00486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920428",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.