Individual provider Active NPI

Dongxu Sun, M.D.

  • Hospitalist Physician
  • Mount Pleasant, TX
National Provider Identifier
1538353149
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
28082 Issued in OK
Practice address
2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338
Phone
(903) 577-6000
NPI assigned
Aug 28, 2007
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 28082 OK Primary
Internal Medicine Physician 207R00000X N7972 TX
Internal Medicine Physician 207R00000X 28082 OK

Addresses

Primary practice location

2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338

Mailing address

1370 N Interstate Dr
Suite 154
Norman, OK 73072-3376
Phone (405) 307-6668

Other practice location 1

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 421-6743

Other identifiers 4

IdentifierTypeStateIssuer
220590807MedicaidTX
75-2616977-042OtherTXTRICARE
P01105249OtherTXRAIL ROAD
8DK100OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110308000107 TX Practitioner - Internal Medicine 4082896345 Reassigns benefits to 4 organizations
I20170207002843 OK Practitioner - Internal Medicine 4082896345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Healthcare Corporation CurrentSince Jul 18, 2018 Accepting new patients
Comanche County Healthcare Corporation Current Accepting new patients
Comprehensive Hospitalist Services of Texas, PLLC Internal Medicine CurrentSince Mar 8, 2011 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist Current Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Mar 8, 2011 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Comanche County Healthcare Corporation Hospitalist CurrentSince Jul 18, 2018 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Nov 1, 2014 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Lawton Urology Past Accepting new patients
Ghazi M. Rayan, MD, Inc. Past Accepting new patients

Locations

3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: dsun23106@christushealth.direct-ci.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1538353149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 N INTERSTATE DR",
            "address_2": "SUITE 154",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723376",
            "telephone_number": "405-307-6668",
            "fax_number": "405-701-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Clark Bass Blvd",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745014209",
            "country_code": "US",
            "telephone_number": "918-421-6743",
            "fax_number": "918-421-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "DONGXU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "28082",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "28082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220590807",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-042",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P01105249",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DK100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.