Active NPI
Gloria Y. Sun, M.D.
- Internal Medicine Physician
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD10727
- Practice address
- 481 Kingstown Rd
Wakefield, RI 02879-3626 - Phone
- (401) 789-0283
- Fax
- (401) 789-0314
- NPI assigned
- Jun 7, 2006
- Last updated
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10727 | RI | Primary |
Addresses
Primary practice location
481 Kingstown Rd
Wakefield, RI 02879-3626
Mailing address
481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 789-0283
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RI10727 | Other | RI | BLUE CROSS LICENSE RI |
| 0405647 | Other | RI | UNITEDHEALTHCARE |
| 408881 | Other | RI | BLUE CHIP HMORI OF RI |
| 7009265 | Medicaid | RI | |
| MD10727 | Other | RI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Spring Health Care Management, Inc. | Internal Medicine | Current | Accepting new patients |
| Seacoast Eye Associates Inc | Past | Accepting new patients | |
| State of Rhode Island | Past | Accepting new patients | |
| John Jefferys Bandola, M.D. | Internal Medicine | Past | Accepting new patients |
| Atlantic Professional Services of Rhode Island Incorporated | Past | Accepting new patients |
Locations
3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740
70 Kenyon Ave
#211
Wakefield, RI 02879
Phone (401) 471-6285
70 Kenyon Ave
Unit 211
Wakefield, RI 02879
Phone (401) 789-8543
268 Post Rd
Ste 203
Westerly, RI 02891
Phone (401) 604-2530
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.
-
dba South County Medical Group
- Family Medicine Physician
- Narragansett, RI
- NPI 1306365812
Internal Medicine
-
- Hospitalist Physician
- Wakefield, RI
- NPI 1922036946
-
- Internal Medicine Physician
- Wakefield, RI
- NPI 1629265236
-
- Ophthalmology Physician
- Wakefield, RI
- NPI 1194868562
-
dba URI Health Services
- Student Health Clinic/Center
- Kingston, RI
- NPI 1245455724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1992745350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 KINGSTOWN RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793626",
"telephone_number": "401-789-0283",
"fax_number": "401-789-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 KINGSTOWN RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793626",
"telephone_number": "401-789-0283",
"fax_number": "401-789-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "GLORIA",
"middle_name": "Y.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD10727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS LICENSE RI",
"identifier": "RI10727",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "0405647",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP HMORI OF RI",
"identifier": "408881",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7009265",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD10727",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.