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DR. SUNU JOHN PHILIP MD
NPI 1457610396
Surgery in Sioux City, IA

Active since May 13, 2012PECOS EnrolledAccepts Medicare Assignment
2730 PIERCE ST STE 402, SIOUX CITY, IA 51104(712) 234-8725(712) 234-8728 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2020, Sep 12, 2018 (2 updates tracked since 2018).

About Dr. Sunu John Philip Md NPPES

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

DR. SUNU JOHN PHILIP MD (NPI 1457610396) is an individual surgery provider in Sioux City, Iowa, licensed in Iowa (MD-46733) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457610396
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SUNU JOHN PHILIPCredential: MD
Location Address2730 PIERCE ST STE 402Sioux City, IA 51104-3766
Mailing Address333 Sergeant Square Dr Unit 43Sergeant Bluff, IA 51054-7759 · (248) 250-1087
Phone(712) 234-8725
Fax(712) 234-8728
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 13, 2012
Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration
NPPES CertifiedJuly 8, 2020
✔ NPI 1457610396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IA · MD-46733✔ Licensed in MI · 4301100177✔ Licensed in MA · 273708
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2730 PIERCE ST STE 402, Sioux City, IA 51104
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Secondary Practice Locations 2

Location 116001 W 9 Mile Rd, Providence Hospital, Department Of SurgerySouthfield, MI 48075-4818 · Phone (248) 349-3073 · Fax (248) 349-5380
Location 275 Francis St Dept OfBoston, MA 02115-6110 · Phone (617) 732-6988 · Fax (617) 730-2898

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company.Insurance ›

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. Sunu John Philip 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 ID3375964398
PECOS Enrollment IDI20200529002302
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 10

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
89 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
71 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services47 patients
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.
64 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Buena Vista Regional Medical Center

Critical Access Hospitals · Storm Lake, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161375
Location1525 West 5th StreetStorm Lake, IA 50588 · Buena Vista County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 2

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

DR. PETER CMOREJ M.D.
Surgery
2730 PIERCE ST STE 402
SIOUX CITY, IA 51104
Woodbury County (712) 234-8725
JOSHUA HOLLINGSHEAD MD
Surgery
2730 PIERCE ST STE 402
SIOUX CITY, IA 51104
Woodbury County (712) 234-8725

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 Sunu Philip's NPI number?

The NPI number for Sunu Philip is 1457610396. It was assigned to this individual provider in the NPPES registry on May 13, 2012.

Where is Sunu Philip located?

Sunu Philip practices at 2730 Pierce St Ste 402, Sioux City, IA 51104. The listed phone number is (712) 234-8725.

What is Sunu Philip's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sunu Philip enrolled in Medicare?

Yes. Sunu Philip 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.

What insurance does Sunu Philip accept?

Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Sunu Philip 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.

Is Sunu Philip affiliated with any hospitals?

According to CMS data, Sunu Philip is affiliated with St Lukes Regional Medical Center and Buena Vista Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sunu Philip was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.