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DR. JACK JEN-KUEI SUN D.O.
NPI 1841511615
Student in an Organized Health Care Education/Training Program in El Paso, TX

Active since June 16, 2010PECOS Enrolled
4801 ALBERTA AVE, EL PASO, TX 79905(915) 545-7333 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Jen-kuei Sun D.o. NPPES

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

DR. JACK JEN-KUEI SUN D.O. (NPI 1841511615) is an individual student in an organized health care education/training program in El Paso, Texas, licensed in Texas (BP10037717) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841511615
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACK JEN-KUEI SUNCredential: D.O.
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address225 N Mesa Hills Dr Apt 2117El Paso, TX 79912-4883 · (626) 731-1324
Phone(915) 545-7333
Sole ProprietorYes
Enumeration DateJune 16, 2010
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1841511615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10037717
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4801 ALBERTA AVE, El Paso, TX 79905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Jen-kuei Sun D.o. 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.

JOSEPH JEFFREY MILLER
Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5400
DR. ANDREW JONATHEN ORTEGA DO
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
DR. AMRO ALI YASSIN-AWAD MD
Emergency Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-4625
MAJD HAWWAR
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
NATHALIA ARREDONDO APRN
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5300
CARA OGOCHUKWU ORJI MD
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
ELVIA MARTINEZ LSW/CPW
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6990
SCOTT DIESTE
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
El Paso County (915) 215-4600

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 Jack Sun's NPI number?

The NPI number for Jack Sun is 1841511615. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Jack Sun located?

Jack Sun practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 545-7333.

What is Jack Sun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jack Sun enrolled in Medicare?

Yes. Jack Sun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Sun was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.