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

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: November 08, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Sunil John reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeland Community Hospital Watervliet
Same address
Rural Health
2002 S 11TH ST
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 57 clinicians in this Medicare group
NPI 1538592753 (269) 687-0200
Lakeland Medical Practices
2.3 mi
Audiologist
42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
NPI 1134898505 (269) 687-2910
Bronson Lakeview Hospital
35 mi
Internal Medicine
451 HEALTH PKWY
Paw Paw, MI 49079
  • Reassigned Medicare billing, Michigan enrollment
  • 251 clinicians in this Medicare group
NPI 1235131137 (269) 657-2550
Bronson Methodist Hospital
48 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Bronson Battle Creek Hospital
67 mi
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 clinicians in this Medicare group
NPI 1093119638 (269) 245-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. CRAIG A. RIGLER M.A. CCC-A AUDIOLOGY
Audiologist
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
LAUREN-SHYLENE LUNA TOSCANO NP
Nurse Practitioner
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
MRS. ASHLEY MARIE FUGATE FNP-BC
Nurse Practitioner (Family)
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
SANDRA QUINTERO LLMSW
Social Worker
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
ELIZABETH ANN MCGLOTHLIN M.D.
Family Medicine
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
JAMES E STRYCKER MD
Family Medicine
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
JENNIFER ANN LAYMAN YOUNG NP
Nurse Practitioner (Family)
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0808
DR. LOIS G LELLO MD
Pediatrics
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200

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 Sunil John's NPI number?

The NPI number for Sunil John is 1306953542. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Sunil John located?

Sunil John practices at 2002 S 11th St, Niles, MI 49120. The listed phone number is (269) 687-0200.

What is Sunil John's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Sunil John enrolled in Medicare?

Yes. Sunil John is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sunil John's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil John reassigns Medicare benefits to 5 organizations: Lakeland Community Hospital Watervliet (Niles, MI), Lakeland Medical Practices (Niles, MI), Bronson Lakeview Hospital (Paw Paw, MI), Bronson Methodist Hospital (Kalamazoo, MI) and Bronson Battle Creek Hospital (Battle Creek, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunil John's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil John accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sunil John as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunil John was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.