MARYELLEN SUN M.D. NPI 1861661092

NPI Information

  • NPI: 1861661092
  • Provider Name: MARYELLEN SUN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: BETH ISRAEL DEACONESS MEDICAL CENTER
    330 BROOKLINE AVENUE
    BOSTON, MA
    ZIP 02215
  • Phone: (617) 754-2521

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NPI Details

Maryellen Sun, M.D. is a diagnostic radiology radiology in Boston, MA with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Maryellen Sun, M.D. NPI is 1861661092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVENUE
BOSTON, MA
ZIP 02215
Phone: (617) 754-2521

The NPI 1861661092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)

The enumeration date for this NPI number is 2/21/2008 and was last updated on 8/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology234487MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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