Individual provider Active NPI

Douglas Sunde, M.D.

  • Plastic Surgery Physician
  • Monterey, CA
National Provider Identifier
1962411249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G621780 Issued in CA
Practice address
856 Munras Ave
Monterey, CA 93940-3112
Phone
(831) 372-0200
Fax
(831) 372-4710
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G621780 CA Primary

Addresses

Primary practice location

856 Munras Ave
Monterey, CA 93940-3112

Mailing address

856 Munras Ave
Monterey, CA 93940-3112
Phone (831) 372-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000271 CA Practitioner - Plastic and Reconstructive Surgery 2163619719 Practice locations: Monterey, CA

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Hospital of the Monterey PeninsulaMonterey, CA, CCN 050145 Hospital Corporate Director Jan 1, 2025
Community Hospital of the Monterey PeninsulaMonterey, CA, CCN 05S145 Hospital Corporate Director Jan 1, 2025
Community Hospital of the Monterey PeninsulaMonterey, CA, CCN 05T145 Hospital Corporate Director Jan 1, 2025
Westland HouseMonterey, CA, CCN 555143 Skilled nursing facility Corporate Director Jan 1, 2025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G621780CAMDPlastic Surgery Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of California, San Francisco School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

856 Munras Ave
Monterey, CA 93940-3112
Phone (831) 372-0200

Hospital & facility affiliations

  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Merit-based Incentive Payment System (MIPS)

Final score
84.81 of 100Reported as individual
Quality
72.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962411249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 MUNRAS AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403112",
            "telephone_number": "831-372-0200",
            "fax_number": "831-372-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 MUNRAS AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403112",
            "telephone_number": "831-372-0200",
            "fax_number": "831-372-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDE",
        "first_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G621780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.