Individual provider Active NPI

Jianping Sun, MD

  • Pain Medicine (Anesthesiology) Physician
  • Renton, WA
National Provider Identifier
1902917164
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35640 Issued in TN
Practice address
4500 NE Sunset Blvd
Suite D
Renton, WA 98059-4054
Phone
(425) 271-1255
Fax
(425) 271-1256
NPI assigned
Aug 31, 2006
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35640 TN Primary

Addresses

Primary practice location

4500 NE Sunset Blvd
Suite D
Renton, WA 98059-4054

Mailing address

4500 NE Sunset Blvd
Suite D
Renton, WA 98059-4054
Phone (425) 271-1255

Other identifiers 1

IdentifierTypeStateIssuer
3869134MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35640TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lunamed Urgent Care a Medical Professional Corporation CurrentSince May 25, 2026 Accepting new patients
Tennessee River Pain Management Clinic PastSince May 3, 2010 Accepting new patients
Dickson Pain and Wellness PLLC PastSince Jan 1, 2011 Accepting new patients
Pain Associates of Washington, PLLC Past Accepting new patients

Locations

600 W Main St
Ste 104
Alhambra, CA 91801
Phone (626) 284-3284

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1902917164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 NE SUNSET BLVD",
            "address_2": "SUITE D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594054",
            "telephone_number": "425-271-1255",
            "fax_number": "425-271-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NE SUNSET BLVD",
            "address_2": "SUITE D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594054",
            "telephone_number": "425-271-1255",
            "fax_number": "425-271-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JIANPING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "35640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3869134",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.