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SUNDENE INTERNAL MEDICINE, PLLC
NPI 1942961883
Hospitalist in Broken Arrow, OK

Active since January 03, 2022
1200 W ALBANY ST, BROKEN ARROW, OK 74012(918) 957-3000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sundene Internal Medicine, Pllc NPPES

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

SUNDENE INTERNAL MEDICINE, PLLC (NPI 1942961883) is a healthcare organization registered as a hospitalist in Broken Arrow, Oklahoma and active in the NPI registry since January 2022. The organization lists Kristy Sundene, Physician, as its authorized official.

NPPES Registry Identity

NPI1942961883
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameSUNDENE INTERNAL MEDICINE, PLLC
Location Address1200 W ALBANY STBroken Arrow, OK 74012-8146
Mailing AddressPo Box 157Jenks, OK 74037-0157
Phone(918) 957-3000
Organization SubpartNo
Authorized OfficialKristy SundenePhysician · (918) 361-8698
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1942961883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1200 W ALBANY ST, Broken Arrow, OK 74012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sundene Internal Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20220221000131Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sundene Internal Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristy Sundene, M.D.
Internal Medicine
NPI 1124084470
1705 E 19TH ST STE 302
Tulsa, OK 74104
(918) 748-7585
✔ PECOS✔ Accepts Medicare11 mi

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

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 Sundene Internal Medicine, PLLC's NPI number?

The NPI number for Sundene Internal Medicine, PLLC is 1942961883. It was assigned to this organization in the NPPES registry on January 3, 2022.

Where is Sundene Internal Medicine, PLLC located?

Sundene Internal Medicine, PLLC is located at 1200 W Albany St, Broken Arrow, OK 74012. The listed phone number is (918) 957-3000.

What is Sundene Internal Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sundene Internal Medicine, PLLC enrolled in Medicare?

Yes. Sundene Internal Medicine, PLLC is registered in the Medicare PECOS enrollment system.

When is Sundene Internal Medicine, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sundene Internal Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sundene Internal Medicine, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sundene Internal Medicine, PLLC was last updated on January 3, 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.