KEVIN SUN (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1093154635

KEVIN SUN (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 01082653A (IN). The NPI Number for KEVIN SUN (M.D.) is 1093154635

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN SUN (M.D.)
NPI
1093154635
Phone
(260) 266-2020
Address
11109 Parkview Plaza Dr
Enumeration Date
17 June 2013
Last Update Date
5 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073032570
Graduation Year
2013 (13 years ago)
PAC ID
9931440997
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20240415002506
Address ID
FL328031248OR601XXSTXX400

Contacts

Secure Messaging
ksun220011@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:12State licenses:3Other namesUpdated within 12 months

432 CRITICAL CARE (INTENSIVISTS) in IN

Provider Addresses for KEVIN SUN (M.D.)

  • 11109 Parkview Plaza Dr

    Fort Wayne, IN 468451701

    Phone: (260) 266-2020

    Fax: (260) 266-2009

    Type: Location

  • 1000 Waterman Way

    Tavares, FL 327785266

    Phone: (407) 303-7283

    Type: Location

  • 2501 N Orange Ave Ste 401

    Orlando, FL 328044644

    Phone: (407) 303-7283

    Type: Location

  • 2100 Ocoee Apopka Rd

    Apopka, FL 327039210

    Phone: (407) 303-7283

    Type: Location

  • 601 E Altamonte Dr

    Altamonte Springs, FL 327014802

    Phone: (407) 303-7283

    Type: Location

  • 400 Celebration Pl

    Kissimmee, FL 347474970

    Phone: (407) 303-7283

    Type: Location

  • 200 N Lakemont Ave

    Winter Park, FL 327923273

    Phone: (407) 303-7283

    Type: Location

  • 2450 N Orange Blossom Trl

    Kissimmee, FL 347442316

    Phone: (407) 303-7283

    Type: Location

  • 7727 Lake Underhill Rd

    Orlando, FL 328228224

    Phone: (407) 303-7283

    Type: Location

  • 11109 PARKVIEW PLAZA DR

    FORT WAYNE, IN 468451701

    Phone: (260) 266-2020

    Fax: (260) 266-2009

    Type: Mailing

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 303-7283

    Type: Mailing

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($116).

Total Amount

$136

General + Research + Ownership

Payments

2

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

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: 2024-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190401002310ICritical Care (Intensivists)VATBD
I20220331002984IHospitalistCOTBD
I20240415002506ICritical Care (Intensivists)FLTBD

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
99291Critical care, first 30-74 minutes133124$0
76937Ultrasonic guidance for blood vessel access1612$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1313$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 0749186153View full group profile
NameSpecialtyState
H E M A T O L O G YPA
Nurse PractitionerFL
Physician AssistantPA
Physician AssistantFL
-FL
N E U R O S U R G E R YFL
G A S T R O E N T E R O L O G YFL
-FL
-FL
Cardiovascular Disease (Cardiology)VA

Reviews

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Frequently asked questions

What identifier follows KEVIN SUN (M.D.) across health systems?
The NPI 1093154635 uniquely identifies KEVIN SUN (M.D.) in U.S. healthcare data.
Is KEVIN SUN (M.D.)'s NPI status active today?
Active status means KEVIN SUN (M.D.)'s NPI record is not deactivated in the public file.
What type of care does KEVIN SUN (M.D.) provide?
KEVIN SUN (M.D.)'s profile centers on Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEVIN SUN (M.D.)?
KEVIN SUN (M.D.) is associated with Fort Wayne, Indiana in the same public data insurers reference.
Can I export KEVIN SUN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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