SUNIL JOHN
NPI 1306953542
Pediatrics - Pediatric Cardiology in Niles, MI

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

Active since August 24, 2006PECOS Enrolled

2002 S 11TH ST, NILES, MI 49120(269) 687-0200 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2024, Aug 15, 2019 (2 updates tracked since 2019).

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About Sunil John NPPES

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

SUNIL JOHN (NPI 1306953542) is an individual pediatric cardiology provider in Niles, Michigan, licensed in Michigan (4301068640) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306953542

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameSUNIL JOHN

Location Address2002 S 11TH STNiles, MI 49120-4074

Mailing Address2002 S 11th StNiles, MI 49120-4074

Phone(269) 687-0200

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateJune 12, 20242 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1306953542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MI · 4301068640

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 4301068640 (MI)

2002 S 11TH ST, Niles, MI 49120

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Secondary Practice Locations 2

Location 14200 S Westnedge AveKalamazoo, MI 49008-3208 · Phone (269) 381-3500

Location 2601 John St Ste M-351Kalamazoo, MI 49007 · Phone (269) 341-8786

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunil John is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SOUTHWESTERN MEDICAL CLINIC PC

Specialist