Individual provider Active NPI

John Sun, MD

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1821082165
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9912 Issued in TX
Practice address
11609 Spring Cypress Rd Ste a
Tomball, TX 77377-8917
Phone
(281) 357-8588
Fax
(281) 357-8877
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9912 TX Primary

Addresses

Primary practice location

11609 Spring Cypress Rd Ste a
Tomball, TX 77377-8917

Mailing address

11609 Spring Cypress Rd Ste a
Tomball, TX 77377-8917
Phone (281) 357-8588

Other identifiers 1

IdentifierTypeStateIssuer
038412504MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050308000547 TX Practitioner - Family Practice 3072567544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11609 Spring Cypress Rd
Suite a
Tomball, TX 77377-8917
Phone (281) 357-8588

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Houston, TX, CCN 679137
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Family Practice Associates, PA Family Medicine CurrentSince Feb 20, 2005 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Locations

11609 Spring Cypress Rd
Ste A
Tomball, TX 77377
Phone (281) 351-1195

13628 Michel Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-8588

Interoperability endpoints

  • Direct secure messaging: sunfamilypractice@sfpap-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1821082165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11609 SPRING CYPRESS RD STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778917",
            "telephone_number": "281-357-8588",
            "fax_number": "281-357-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11609 SPRING CYPRESS RD STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778917",
            "telephone_number": "281-357-8588",
            "fax_number": "281-357-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038412504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.