Individual provider Active NPI

Derek Sun, M.D.

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1831267087
Registry record updated Mar 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
250883 Issued in NY
Practice address
194-02 Northern Blvd.
Suite 208
Flushing, NY 11358
Phone
(718) 631-8800
Fax
(718) 631-8815
NPI assigned
Dec 4, 2006
Last updated
Mar 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2013

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 250883 NY Primary

Addresses

Primary practice location

194-02 Northern Blvd.
Suite 208
Flushing, NY 11358

Mailing address

454 Fort Washington Ave
Unit #5
New York, NY 10033-4650
Phone (212) 928-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090910000356 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800941188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

454 Fort Washinghton Ave
Apt 5
New York, NY 10033-4664
Phone (212) 928-8800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ning Cao Medical Services, PC PastSince Sep 1, 2004 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362787200000",
    "number": "1831267087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 FORT WASHINGTON AVE",
            "address_2": "UNIT #5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334650",
            "telephone_number": "212-928-8800",
            "fax_number": "718-631-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194-02 NORTHERN BLVD.",
            "address_2": "SUITE 208",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-631-8800",
            "fax_number": "718-631-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "DEREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "250883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.