DR. KEVIN HALILI SUNGA DO
NPI 1760010151
Internal Medicine in Austin, TX

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
901 W BEN WHITE BLVD, AUSTIN, TX 78704(512) 447-2211 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2023, May 2, 2023, Mar 31, 2020 (3 updates tracked since 2020).

About Dr. Kevin Halili Sunga Do NPPES

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

DR. KEVIN HALILI SUNGA DO (NPI 1760010151) is an individual internal medicine provider in Austin, Texas, licensed in Texas (U3363) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St David's South Austin Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760010151
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEVIN HALILI SUNGACredential: DO
Location Address901 W BEN WHITE BLVDAustin, TX 78704-6903
Mailing Address901 W Ben White BlvdAustin, TX 78704-6903
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1760010151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · U3363
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
901 W BEN WHITE BLVD, Austin, TX 78704

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Halili Sunga Do 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 ID8123459534
PECOS Enrollment IDI20230912000577
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

3

Medicare enrollment records show Kevin Sunga reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
Emergency Medicine
1310 PALUXY RD
Granbury, TX 76048
  • Reassigned Medicare billing, Texas enrollment
  • 123 clinicians in this Medicare group

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

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.

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.
425 services181 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
125 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
123 services122 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services78 patients

Hospital Affiliations CMS Care Compare 2

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

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Pharmacist
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Respiratory Therapist, Registered
901 W BEN WHITE BLVD, RESPIRATORY THERAPY DEPT ST DAVIDS SOUTH AUSTIN HOSPITA
AUSTIN, TX 78704
Physician Assistant (Medical)
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Hospitalist
901 W BEN WHITE BLVD
AUSTIN, TX 78704

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 Kevin Sunga's NPI number?

The NPI number for Kevin Sunga is 1760010151. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Kevin Sunga located?

Kevin Sunga practices at 901 W Ben White Blvd, Austin, TX 78704. The listed phone number is (512) 447-2211.

What is Kevin Sunga's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Sunga enrolled in Medicare?

Yes. Kevin Sunga 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.

Which organizations bill Medicare for Kevin Sunga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Sunga reassigns Medicare benefits to 3 organizations: Lonestar Pat Associates PA (Round Rock, TX), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX) and Lake Granbury Hospital-Based Professional Services (Granbury, TX). 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 Kevin Sunga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Sunga accept?

Health plans from Blue Cross and Blue Shield of Texas list Kevin Sunga 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 Kevin Sunga affiliated with any hospitals?

According to CMS data, Kevin Sunga is affiliated with St David's South Austin Medical Center and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Kevin Sunga was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.