MR. KENNETH P SUNNERGREN (M.D.) – Cardiovascular Disease Physician, NPI 1720055122

MR. KENNETH P SUNNERGREN (M.D.) is a healthcare provider. based in Lewes, Delaware. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. C10005267 (DE). The NPI Number for MR. KENNETH P SUNNERGREN (M.D.) is 1720055122

Main info

Male
43 Years Of Experience
Name
MR. KENNETH P SUNNERGREN (M.D.)
NPI
1720055122
Phone
(302) 645-1233
Address
424 Savannah Rd
Enumeration Date
3 March 2006
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3029472500
Graduation Year
1983 (43 years ago)
PAC ID
7618005216
Group Practice PAC ID
8921917972
Professional Enrollment ID
I20100430000625
Address ID
DE199581462LE424XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

139 CARDIOVASCULAR DISEASE (CARDIOLOGY) in DE

Provider Addresses for MR. KENNETH P SUNNERGREN (M.D.)

  • 424 Savannah Rd

    Lewes, DE 199581462

    Phone: (302) 645-1233

    Fax: (302) 645-1228

    Type: Location

  • Kings Highway, Highland Acres, Lewes, Sussex County, Delaware, 19958, United States

    LEWES, DE 199584929

    Phone: (302) 645-1233

    Fax: (302) 645-1228

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 159 Open Payments records for all available years, with a total value of $4,527.

Total Amount is formed as General ($4,527) + Research ($0) + Ownership ($0) = $4,527.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($1,254).

Total Amount

$4,527

General + Research + Ownership

Payments

159

Total payment records

General Amount

$4,527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-04-30

PECOS data refreshed: 2026-05-27

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
I20100430000625ICardiovascular Disease (Cardiology)DETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,7461,270$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,4041,158$0
93793Anticoagulant management of patient taking warfarin1,039100$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function645633$0
85610Blood test, clotting time55073$0
View full utilization report →

Insurance plans in this area (ZIP 19958)

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Provider's Procedures

MR. KENNETH P SUNNERGREN (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)DE93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report363296
CARDIOVASCULAR DISEASE (CARDIOLOGY)DE93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart4545

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: 8921917972View full group profile
NameSpecialtyState
Nurse PractitionerDE
Nurse PractitionerDE
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyPA
Internal Medicine, Hematology/OncologyDE
Registered Dietitian Or Nutrition ProfessionalDE
Hematology/Oncology, Internal MedicineDE
Nurse PractitionerDE
Cardiovascular Disease (Cardiology)DE
Interventional Cardiology, Internal MedicineMD
Nurse PractitionerOR

Reviews

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Frequently asked questions

What unique ID ties claims to MR. KENNETH P SUNNERGREN (M.D.)?
NPI 1720055122 is assigned to MR. KENNETH P SUNNERGREN (M.D.) under the national enumeration system.
Is MR. KENNETH P SUNNERGREN (M.D.) active in the national directory?
MR. KENNETH P SUNNERGREN (M.D.)'s public NPI profile is in an active state.
What field does MR. KENNETH P SUNNERGREN (M.D.) work in?
You can think of MR. KENNETH P SUNNERGREN (M.D.) as practicing within Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. KENNETH P SUNNERGREN (M.D.)?
The page summarizes Lewes, Delaware for MR. KENNETH P SUNNERGREN (M.D.); expand the address list for detail.
What if Lewes, Delaware seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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