Active NPI
Maryellen Sun, M.D.
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 234487
- Practice address
- Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston, MA 02215 - Phone
- (617) 754-2521
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 234487 | MA | Primary |
Addresses
Primary practice location
Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston, MA 02215
Mailing address
83 Lee St
Brookline, MA 02445-5912
Phone (617) 487-5215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Harvard Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Mill St
Arlington, MA 02476-4784
Phone (617) 492-3500
259 Forge Rd
North Kingstown, RI 02852-1009
Phone (617) 499-5070
Hospital & facility affiliations
- Mount Auburn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234487 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Institute of Technology | Current | Accepting new patients | |
| Merrimack Radiology-Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| President & Fellows of Harvard College | Current | Accepting new patients | |
| President and Fellows of Harvard College | Current | Accepting new patients | |
| Schatzki Associates Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Mass General Brigham Community Physicians Inc. | Current | Accepting new patients | |
| MW Radiology-Cra LLC | Diagnostic Radiology | Past | Accepting new patients |
| Meyer Physical Therapy | Past | Accepting new patients |
Locations
22 Mill St
Arlington, MA 02476
Phone (781) 646-8440
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434
25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556
75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414
75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100
1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210
500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Interoperability endpoints
- msun519563@direct.bilh.masshiway.net
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
-
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1346308723
-
- Diagnostic Radiology Physician
- Lowell, MA
- NPI 1275871154
-
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1952366312
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- General Practice Dentistry
- Boston, MA
- NPI 1972761807
-
- Physical Therapist
- Brockton, MA
- NPI 1326025636
-
- Diagnostic Radiology Physician
- Melrose, MA
- NPI 1114555398
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1861661092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 LEE ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024455912",
"telephone_number": "617-487-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BETH ISRAEL DEACONESS MEDICAL CENTER",
"address_2": "330 BROOKLINE AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-754-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "MARYELLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "234487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.