Organization Active NPI

Sunrise Urology PC

  • Urology Physician
  • Gilbert, AZ
National Provider Identifier
1699795179
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
31442 Issued in AZ
Legal business name
SUNRISE UROLOGY PC
Practice address
3303 S Lindsay Rd
Ste 121
Gilbert, AZ 85297-1503
Phone
(480) 507-9600
Fax
(480) 507-9610
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
John C Lin, MDNPI 1467494435
Title
Principal
Phone
(480) 507-9600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 31442 AZ Primary

Addresses

Primary practice location

3303 S Lindsay Rd
Ste 121
Gilbert, AZ 85297-1503

Mailing address

PO Box 2464
Gilbert, AZ 85299-2464
Phone (480) 507-9600

Other identifiers 1

IdentifierTypeStateIssuer
778582MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061109000167 AZ Part B Supplier - Clinic/Group Practice 9133126915 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

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
03D1057475Sunrise Urology PC3303 S Lindsay Rd, Ste 121, Gilbert, AZ 85297Provider-performed microscopyAug 13, 2026

National Provider Directory

National Provider Directory

Locations

3303 S Lindsay Rd
Ste 121
Gilbert, AZ 85297
Phone (480) 507-9600

1501 N Gilbert Rd
Ste 205
Gilbert, AZ 85234
Phone (480) 507-9600

Practitioners & affiliated clinicians

Practitioners 1

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1699795179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2464",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852992464",
            "telephone_number": "480-507-9600",
            "fax_number": "480-507-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD",
            "address_2": "STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971503",
            "telephone_number": "480-507-9600",
            "fax_number": "480-507-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "480-507-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "31442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.