DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) – Hematology & Oncology Physician, NPI 1578852109

DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) is a healthcare provider. based in Stockton, California. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. A151375 (CA). The NPI Number for DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) is 1578852109

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUNNY KOIPURATHU JR. PHILIP (M.D.)
NPI
1578852109
Phone
(209) 466-2626
Address
2626 N CALIFORNIA ST STE B
Enumeration Date
5 April 2011
Last Update Date
13 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2093662616
Graduation Year
2011 (15 years ago)
PAC ID
8224398433
Group Practice PAC ID
1456369800
Professional Enrollment ID
I20180208001458
Address ID
CA952427503LO801XXLNXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,536 HEMATOLOGY/ONCOLOGY in CA

Provider Addresses for DR. SUNNY KOIPURATHU JR. PHILIP (M.D.)

  • 2626 N CALIFORNIA ST STE B

    STOCKTON, CA 952045500

    Phone: (209) 466-2626

    Fax: (209) 466-7153

    Type: Mailing

  • 801 S HAM LN STE S

    LODI, CA 952427503

    Phone: (209) 366-2616

    Fax: (209) 333-3884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 306 Open Payments records for all available years, with a total value of $8,957.

Total Amount is formed as General ($8,957) + Research ($0) + Ownership ($0) = $8,957.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,673).

Total Amount

$8,957

General + Research + Ownership

Payments

306

Total payment records

General Amount

$8,957

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180208001458IHematology/OncologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1439Injection, ferric carboxymaltose, 1 mg71,25038$0
J9263Injection, oxaliplatin, 0.5 mg13,80011$0
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)13,26013$0
J0897Injection, denosumab, 1 mg8,58053$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2,70648$0
View full utilization report →

Insurance plans in this area (ZIP 95204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456369800View full group profile
NameSpecialtyState
H E M A T O L O G YCA
H E M A T O L O G YCA
Medical OncologyCA
H E M A T O L O G Y/ O N C O L O G YCA
H E M A T O L O G Y/ O N C O L O G YWV
-CA
H E M A T O L O G Y/ O N C O L O G YOH
Hematology/Oncology, Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

What is the standard ID for DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) in the U.S.?
In the U.S., DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) is identified by NPI 1578852109.
Should I treat DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) as an active provider?
Patients and plans typically see DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) as active in the national extract.
What does the directory say DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) does?
Insurance directories may phrase it differently, but here DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) maps to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SUNNY KOIPURATHU JR. PHILIP (M.D.)?
DR. SUNNY KOIPURATHU JR. PHILIP (M.D.) is associated with Stockton, California in the same public data insurers reference.
Why is information missing for DR. SUNNY KOIPURATHU JR. PHILIP (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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