Individual provider Active NPI

Aristotle Sun, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Renton, WA
National Provider Identifier
1821354069
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD60702359 Issued in WA
Practice address
3915 Talbot Rd S Ste 104
Renton, WA 98055-5738
Phone
(425) 690-3560
Fax
(425) 690-9560
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 4301103767 MI
Public Health & General Preventive Medicine Physician 2083P0901X 51381 AZ
Public Health & General Preventive Medicine Physician 2083P0901X MD60702359 WA Primary

Addresses

Primary practice location

3915 Talbot Rd S Ste 104
Renton, WA 98055-5738

Mailing address

PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412

Other practice location 1

3939 S Park Ave
Suite 150
Tucson, AZ 85714-1635
Phone (520) 333-4320

Other practice location 2

4033 Talbot Rd S Ste 570
Renton, WA 98055-5700
Phone (425) 656-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170829003125 WA Practitioner - Preventive MedicinePractitioner - Family Practice 4284937731 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51381AZMDPublic Health & General Preventive Medicine Physician
4301103767MIMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Snohomish County Family Medicine CurrentSince Apr 4, 2023 Accepting new patients
Community Health Center of Snohomish County CurrentSince Apr 4, 2023 Accepting new patients
Valley Medical Group-Renton Family Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

4033 Talbot Rd S
Ste 570
Renton, WA 98055
Phone (425) 656-5400

3915 Talbot Rd S
Ste 104
Renton, WA 98055
Phone (425) 656-5566

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1821354069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34876",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241876",
            "telephone_number": "425-656-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 TALBOT RD S STE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555738",
            "telephone_number": "425-690-3560",
            "fax_number": "425-690-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 S Park Ave",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857141635",
            "country_code": "US",
            "telephone_number": "520-333-4320",
            "fax_number": "520-207-0542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4033 Talbot Rd S Ste 570",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555700",
            "country_code": "US",
            "telephone_number": "425-656-5400",
            "fax_number": "425-656-5079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "ARISTOTLE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301103767",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AZ",
            "license": "51381",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "MD60702359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.