QISI SUN MD
NPI 1093396665
Dermatology in Palo Alto, CA

Q: What is Qisi Sun's NPI number?

The NPI number for Qisi Sun is 1093396665. It was assigned to this individual provider in the NPPES registry on April 15, 2021. The provider is also known as Mary Sun.

Q: What is Qisi Sun's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Qisi Sun was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment

300 PASTEUR DR, PALO ALTO, CA 94304(405) 509-4025 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2022, Apr 15, 2021 (2 updates tracked since 2021).

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About Qisi Sun Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QISI SUN MD (NPI 1093396665) is an individual dermatology provider in Palo Alto, California, licensed in California (A181318) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2021).

NPPES Registry Identity

NPI1093396665

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameQISI SUNCredential: MD

Location Address300 PASTEUR DRPalo Alto, CA 94304-2203

Mailing Address125 Lynch CvEads, TN 38028-3653 · (405) 509-4025

Phone(405) 509-4025

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2021

Enumeration DateApril 15, 2021

Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2022

✔ NPI 1093396665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · A181318

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

300 PASTEUR DR, Palo Alto, CA 94304

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Other Names 1

Other Name (5)Mary Sun

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Qisi Sun Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002323664

PECOS Enrollment IDI20250729000604

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHEA MATHEW

Nurse Practitioner (Adult Health)