Individual provider Active NPI

Shining Sun, MD

  • Clinical Cardiac Electrophysiology Physician
  • Reno, NV
National Provider Identifier
1851521546
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
16504 Issued in NV
Practice address
1500 E 2ND St
Ste 400
Reno, NV 89502-1262
Phone
(775) 982-2400
Fax
(775) 982-2800
NPI assigned
Jul 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16504 NV
Clinical Cardiac Electrophysiology Physician 207RC0001X 16504 NV Primary

Addresses

Primary practice location

1500 E 2ND St
Ste 400
Reno, NV 89502-1262

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160825001332 NV Practitioner - Cardiac Electrophysiology 8820383102 Reassigns benefits to 4 organizations
I20251029000143 DC Practitioner - Cardiac Electrophysiology 8820383102 Reassigns benefits to 1 organization
I20251103001179 VA Practitioner - Cardiac Electrophysiology 8820383102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Texas Southwestern Medical School at Dallas, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Carient Heart and Vascular, LLCGroup PAC ID 4082972468, 25 clinicians

Practice addresses (Care Compare)

10085 Double R Blvd
Suite 225
Reno, NV 89521-3855
Phone (775) 982-4035

1500 E 2ND St
Suite 400
Reno, NV 89502-1198
Phone (775) 982-2400

415 Church St NE
Suite 101
Vienna, VA 22180-4748
Phone (877) 415-4116

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone 57158117712611

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Cardiovascular Disease CurrentSince Aug 8, 2016 Accepting new patients
Smi Imaging, LLC CurrentSince Nov 1, 2024 Accepting new patients
Smi Imaging LLC CurrentSince Nov 1, 2024 Accepting new patients
Simonmed Reno PLLC CurrentSince Nov 1, 2024 Accepting new patients
Carient Heart & Vascular, LLC Cardiovascular Disease CurrentSince Jul 25, 2025 Accepting new patients

Locations

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

1500 E 2nd St
Ste 400
Reno, NV 89502

1155 Mill St
#14
Reno, NV 89502

590 Eureka Ave
Reno, NV 89512
Phone (775) 323-5083

850 Harvard Way
Reno, NV 89502

8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771

1850 Town Center Pkwy
Ste 566
Reston, VA 20190

415 Church St NE
Ste 101
Vienna, VA 22180
Phone (571) 432-9454

Interoperability endpoints

  • Direct secure messaging: ssun109758@direct.renown.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1851521546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST",
            "address_2": "STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021262",
            "telephone_number": "775-982-2400",
            "fax_number": "775-982-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "SHINING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "16504",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NV",
            "license": "16504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.