NPIMap

Individual provider Active NPI

Ruben L Sunga Jr., M.D.

  • Cardiovascular Disease Physician
  • Ardmore, OK
National Provider Identifier
1972699627
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K6351 Issued in TX
Practice address
731 12TH Ave NW
Ste 301
Ardmore, OK 73401-5761
Phone
(580) 319-1391
Fax
(580) 319-4004
NPI assigned
Oct 4, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K6351 TX Primary

Addresses

Primary practice location

731 12TH Ave NW
Ste 301
Ardmore, OK 73401-5761

Mailing address

1816 Sunset Park Ter
Ardmore, OK 73401-3599
Phone (580) 319-1391

Other identifiers 1

IdentifierTypeStateIssuer
144013303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000598 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638135304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Ardmore IncGroup PAC ID 8123011277, 13 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 223-5400

731 12TH Ave NW
Suite 301
Ardmore, OK 73401-5763
Phone (580) 220-6189

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Memorial Health Center Inc CurrentSince May 1, 2015 Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince May 1, 2015 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jan 1, 2010 Accepting new patients
Mercy Hospital Ardmore, Inc Cardiovascular Disease Current Accepting new patients
Ohh Physicians, LLC Cardiovascular Disease PastSince Jan 1, 2010 Accepting new patients
Ector County Hospital District Past Accepting new patients
Suresh N Gadasalli M D P a Cardiovascular Disease Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

731 12th Ave NW
Ste 301
Ardmore, OK 73401
Phone (580) 220-6189

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Interoperability endpoints

  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • Direct secure messaging: rsungamd17245@directc.mercy.net

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1972699627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 SUNSET PARK TER",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013599",
            "telephone_number": "580-319-1391",
            "fax_number": "580-319-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 12TH AVE NW",
            "address_2": "STE 301",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015761",
            "telephone_number": "580-319-1391",
            "fax_number": "580-319-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNGA",
        "first_name": "RUBEN",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K6351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144013303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.