THERESA KAY SUNDERLAND MD
NPI 1487612107
Pediatrics in Charlotte, NC

Q: What is Theresa Sunderland's NPI number?

The NPI number for Theresa Sunderland is 1487612107. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Theresa Sunderland's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 02, 2006PECOS Enrolled

200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-7508(704) 384-8666 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresa Kay Sunderland Md NPPES

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

THERESA KAY SUNDERLAND MD (NPI 1487612107) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (200300291) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487612107

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTHERESA KAY SUNDERLANDCredential: MD

Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830

Phone(704) 384-7508

Fax(704) 384-8666

Sole ProprietorNo

Enumeration DateMay 2, 2006

Last NPPES UpdateNovember 3, 2011

✔ NPI 1487612107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 200300291

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

200 HAWTHORNE LN, Charlotte, NC 28204

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Other Identifiers 3

Medicare UPINH53208

Medicaid891369FNC

MedicaidN0029BSC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Kay Sunderland Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

WELO SYLVIE OLENGA CRNA

Nurse Anesthetist, Certified Registered