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DR. JAMES CAMERON SUNSTRUM M.D.
NPI 1912977927
Internal Medicine - Infectious Disease in Dearborn, MI

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
1934 MONROE ST, DEARBORN, MI 48124(313) 565-7464(313) 565-3620 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Cameron Sunstrum M.d. NPPES

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

DR. JAMES CAMERON SUNSTRUM M.D. (NPI 1912977927) is an individual infectious disease provider in Dearborn, Michigan, licensed in Michigan (4301040251) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912977927
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JAMES CAMERON SUNSTRUMCredential: M.D.
Location Address1934 MONROE STDearborn, MI 48124-2917
Mailing Address1934 Monroe StDearborn, MI 48124-2917 · (313) 565-7464 · Fax (313) 565-3620
Phone(313) 565-7464
Fax(313) 565-3620
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1912977927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MI · 4301040251
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1934 MONROE ST, Dearborn, MI 48124
Open in Google Maps ↗

Secondary Practice Locations 2

Location 118181 Oakwood Blvd Ste 410Dearborn, MI 48124-4082 · Phone (313) 982-5430
Location 22001 S Merriman Rd Ste 300Westland, MI 48186-5542 · Phone (734) 727-1130

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 and accepts Medicare assignment

Dr. James Cameron Sunstrum M.d. 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 ID5496738874
PECOS Enrollment IDI20040608000523
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 James Sunstrum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sunstrum Medical Associates P.C.
Same address
Internal Medicine
1934 MONROE ST
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1548468002 (313) 565-7464
Oakwood Ambulatory LLC
1.7 mi
Internal Medicine
18101 OAKWOOD BLVD
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 453 clinicians in this Medicare group
NPI 1003829441 (313) 593-7000
Beaumont Medical Group- Specialty Services
15 mi
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group
NPI 1578072906 (248) 898-5000

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

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.

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.
45 services29 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%237 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%166 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%166 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%166 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. JOHN LESLIE PAQUET M.D.
Internal Medicine
1934 MONROE ST
DEARBORN, MI 48124
Wayne County (313) 565-7464
SUNSTRUM MEDICAL ASSOCIATES P.C.
Internal Medicine
1934 MONROE ST
DEARBORN, MI 48124
Wayne County (313) 565-7464
DR. RUAA ELTERIEFI MD
Internal Medicine
1934 MONROE ST
DEARBORN, MI 48124
Wayne County (313) 565-7464

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 James Sunstrum's NPI number?

The NPI number for James Sunstrum is 1912977927. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is James Sunstrum located?

James Sunstrum practices at 1934 Monroe St, Dearborn, MI 48124. The listed phone number is (313) 565-7464.

What is James Sunstrum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Sunstrum enrolled in Medicare?

Yes. James Sunstrum 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 James Sunstrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Sunstrum reassigns Medicare benefits to 3 organizations: Sunstrum Medical Associates P.C. (Dearborn, MI), Oakwood Ambulatory LLC (Dearborn, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, 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 James Sunstrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Sunstrum 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 James Sunstrum 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 James Sunstrum affiliated with any hospitals?

According to CMS data, James Sunstrum is affiliated with Beaumont Hospital - Dearborn.

When was this NPI record last updated?

The NPPES record for James Sunstrum was last updated on July 21, 2022. 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.