Organization Active NPI

Sunstone Medical PC

  • Clinic/Center
  • Rockville, MD
National Provider Identifier
1548915218
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUNSTONE MEDICAL PC
Practice address
9905 Medical Center Dr Ste 350
Rockville, MD 20850-6533
Phone
(301) 750-3401
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Mrs. Celia Leeks
Title
Credentialing Specialist
Phone
(301) 750-3401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9905 Medical Center Dr Ste 350
Rockville, MD 20850-6533

Mailing address

9905 Medical Center Dr Ste 350
Rockville, MD 20850-6533
Phone (301) 750-3401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627002304 DC Part B Supplier - Clinic/Group Practice 8123407806 Practice locations: Rockville, MD

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
21D2283814Sunstone Medical PC9905 Medical Center Drive Suite 350, Rockville, MD 20850Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

9905 Medical Center Dr
Ste 350
Rockville, MD 20850
Phone (301) 750-3401

Practitioners & affiliated clinicians

Practitioners 5

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": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1548915218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506533",
            "telephone_number": "301-750-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506533",
            "telephone_number": "301-750-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTONE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "LEEKS",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "301-750-3401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.