Individual provider Active NPI

Edward Chih-Yu Sun, MD

  • Orthopaedic Surgery of the Spine Physician
  • San Mateo, CA
National Provider Identifier
1831161645
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A64612 Issued in CA
Practice address
359 N San Mateo Dr
Suite 1
San Mateo, CA 94401-2560
Phone
(650) 685-7100
Fax
(650) 685-7109
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A64612 CA Primary

Addresses

Primary practice location

359 N San Mateo Dr
Suite 1
San Mateo, CA 94401-2560

Mailing address

359 N San Mateo Dr
Suite 1
San Mateo, CA 94401-2560
Phone (650) 685-7100

Other identifiers 1

IdentifierTypeStateIssuer
P00170606OtherCAMEDICARE RAILROAD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040903000609 CA Practitioner - Orthopedic Surgery 7911804984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

359 N San Mateo Dr
Suite 1
San Mateo, CA 94401-2584
Phone (650) 685-7100

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
87.79 of 100Reported as individual
Quality
85.18
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion52
Laminectomy or laminotomy (partial removal of spine bones)57
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64612CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Sun M.D., Inc. Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2007 Accepting new patients
Spinecare Medical Group Inc Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

359 N San Mateo Dr
Ste 1
San Mateo, CA 94401
Phone (650) 685-7100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: esunmd48116@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1831161645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N SAN MATEO DR",
            "address_2": "SUITE 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012560",
            "telephone_number": "650-685-7100",
            "fax_number": "650-685-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N SAN MATEO DR",
            "address_2": "SUITE 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012560",
            "telephone_number": "650-685-7100",
            "fax_number": "650-685-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "EDWARD",
        "middle_name": "CHIH-YU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A64612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00170606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.