Organization Active NPI

Yun-Lai Sun MD Inc

  • General Practice Physician
  • Lorain, OH
National Provider Identifier
1952405029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35040233 Issued in OH
Legal business name
YUN-LAI SUN MD INC
Practice address
5295 Oberlin Ave
Lorain, OH 44053-3435
Phone
(440) 282-7679
Fax
(440) 282-5742
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yun-Lai Sun, MDNPI 1225120132
Title
President Physician
Phone
(440) 282-7679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 35040233 OH Primary

Addresses

Primary practice location

5295 Oberlin Ave
Lorain, OH 44053-3435

Mailing address

5295 Oberlin Ave
Lorain, OH 44053-3435
Phone (440) 282-7679

Other identifiers 1

IdentifierTypeStateIssuer
0472877MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118001092 OH Part B Supplier - Clinic/Group Practice 1254527054 Receives reassigned benefits from 1 practitioner
Practice locations: Lorain, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0334289Yun-Lai Sun MD5295 Oberlin Avenue, Lorain, OH 44053Provider-performed microscopyMay 31, 2028

National Provider Directory

National Provider Directory

Locations

5295 Oberlin Ave
Lorain, OH 44053
Phone (440) 282-7651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952405029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533435",
            "telephone_number": "440-282-7679",
            "fax_number": "440-282-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533435",
            "telephone_number": "440-282-7679",
            "fax_number": "440-282-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN-LAI SUN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "YUN-LAI",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "440-282-7679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "35040233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472877",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.