Individual provider Active NPI

Carl R Sunby, MD

  • Surgery Physician
  • Middleton, WI
National Provider Identifier
1922066802
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
32957-020 Issued in WI
Practice address
1404 N High Point Rd
Middleton, WI 53562-3676
Phone
(608) 843-3746
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 32957-020 WI Primary

Addresses

Primary practice location

1404 N High Point Rd
Middleton, WI 53562-3676

Mailing address

1404 N High Point Rd
Middleton, WI 53562-3676
Phone (608) 843-3746

Other identifiers 2

IdentifierTypeStateIssuer
2932OtherWIDEAN HEALTH INSURANCE
31790100MedicaidWI

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32957-020WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc Current Accepting new patients

Locations

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

715 W Pleasant St
Portage, WI 53901
Phone (608) 745-5900

100 N Main St
Richland Ctr, WI 53581
Phone (608) 647-8995

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1922066802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 N HIGH POINT RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623676",
            "telephone_number": "608-843-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N HIGH POINT RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623676",
            "telephone_number": "608-843-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNBY",
        "first_name": "CARL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "32957-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "2932",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31790100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.