DR. SUNITA GURUNG
NPI 1154889475
Nurse Practitioner - Family in Louisville, KY

Active since March 05, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219(502) 964-4357(502) 966-5948 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2020, Mar 13, 2020, Mar 12, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Sunita Gurung NPPES

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

DR. SUNITA GURUNG (NPI 1154889475) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3013184) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of University Of Kentucky College Of Medicine (2018).

NPPES Registry Identity

NPI1154889475
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SUNITA GURUNG
Location Address7926 PRESTON HWY STE 106Louisville, KY 40219
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 966-5948
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018
Enumeration DateMarch 5, 2019
Last NPPES UpdateOctober 19, 20204 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
NPI 1154889475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3013184
7926 PRESTON HWY STE 106, Louisville, KY 40219

Secondary Practice Location 1

Location 14801 Olympia Park Plz Ste 4000Louisville, KY 40241-2098 · Phone (502) 272-5066

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

Dr. Sunita Gurung 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 ID9436492642
PECOS Enrollment IDI20190509002043, I20260304000640
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40219 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Emergency Medicine
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Family Medicine
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Nurse Practitioner (Family)
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Nurse Practitioner (Family)
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Nurse Practitioner (Family)
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Nurse Practitioner
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Family Medicine
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunita Gurung's NPI number?

The NPI number for Sunita Gurung is 1154889475. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Sunita Gurung located?

Sunita Gurung practices at 7926 Preston Hwy Ste 106, Louisville, KY 40219. The listed phone number is (502) 964-4357.

What is Sunita Gurung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sunita Gurung enrolled in Medicare?

Yes. Sunita Gurung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sunita Gurung was last updated on October 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.