Organization Active NPI

Sunstrum Medical Associates P.C.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1548468002
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNSTRUM MEDICAL ASSOCIATES P.C.
Practice address
1934 Monroe St
Dearborn, MI 48124-2917
Phone
(313) 565-7464
Fax
(313) 565-3620
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. James Cameron Sunstrum, M.D.NPI 1912977927
Title
President
Phone
(313) 565-7464

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X

Addresses

Primary practice location

1934 Monroe St
Dearborn, MI 48124-2917

Mailing address

1934 Monroe St
Dearborn, MI 48124-2917
Phone (313) 565-7464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000765 MI Part B Supplier - Clinic/Group Practice 4284665456 Receives reassigned benefits from 3 practitioners
Practice locations: Dearborn, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0367151Sunstrum Medical Associates PC1934 Monroe, Dearborn, MI 48124Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1934 Monroe St
Dearborn, MI 48124
Phone (313) 565-7464

Practitioners & affiliated clinicians

Practitioners 3

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1548468002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-565-7464",
            "fax_number": "313-565-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-565-7464",
            "fax_number": "313-565-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTRUM MEDICAL ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SUNSTRUM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-565-7464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.