Individual provider Active NPI

Kenneth P Sunnergren, M.D.

  • Cardiovascular Disease Physician
  • Lewes, DE
National Provider Identifier
1720055122
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C10005267 Issued in DE
Practice address
16704 Kings Hwy
Lewes, DE 19958-4929
Phone
(302) 645-1233
Fax
(302) 645-1228
NPI assigned
Mar 3, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C10005267 DE Primary

Addresses

Primary practice location

16704 Kings Hwy
Lewes, DE 19958-4929

Mailing address

16704 Kings Hwy
Lewes, DE 19958-4929
Phone (302) 645-1233

Other practice location 1

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-1233

Other identifiers 1

IdentifierTypeStateIssuer
0000861801MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000625 DE Practitioner - Cardiovascular Disease (Cardiology) 7618005216 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians
Cardiovascular Consultants of Southern DelawareGroup PAC ID 2860677606, 9 clinicians
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians
Beebe Medical Center IncGroup PAC ID 8921917972, 30 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 200
Newark, DE 19713-2150
Phone (302) 366-8600

16704 Kings Hwy
Lewes, DE 19958-4929
Phone 30264512332726

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
69.29
Promoting interoperability
96
Improvement activities
40
Cost
79.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network, Inc. Cardiovascular Disease CurrentSince Nov 16, 2025 Accepting new patients
Beebe Medical Center, Inc. CurrentSince Jan 6, 2010 Accepting new patients
Cardiovascular Consultants of Southern Delaware Cardiovascular Disease CurrentSince Mar 5, 2011 Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease CurrentSince Dec 9, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Locations

16704 Kings Hwy
Lewes, DE 19958
Phone (302) 645-1233

33664 Bayview Medical Dr
Unit 2
Lewes, DE 19958
Phone (302) 644-4954

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

35141 Atlantic Ave
Millville, DE 19967
Phone (302) 644-2633

35141 Atlantic Ave
Unit 3
Millville, DE 19967
Phone (302) 366-5646

1 Centurian Dr
Ste 200
Newark, DE 19713
Phone (302) 366-5658

1 Centurian Dr
Ste 305
Newark, DE 19713
Phone (302) 633-6335

1 Centurian Dr
Ste 307
Newark, DE 19713
Phone (302) 543-8100

100 S Main St
Ste 104
Smyrna, DE 19977
Phone (302) 486-0176

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/gemms-car06
  • Direct secure messaging: ksunnergren22624@beebehealth.direct-ci.com

Organizations & group practices 6

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 2

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1720055122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16704 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584929",
            "telephone_number": "302-645-1233",
            "fax_number": "302-645-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16704 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584929",
            "telephone_number": "302-645-1233",
            "fax_number": "302-645-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-1233",
            "fax_number": "302-645-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNNERGREN",
        "first_name": "KENNETH",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10005267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000861801",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.