Sunnylane Medical Clinic LLC
NPI 1255922811 · Family Medicine Physician · Del City, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunnylane Medical Clinic LLC is a Family Medicine Physician organization in Del City, OK (NPI 1255922811).
Provider details
- NPI number
- 1255922811
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Braden Peterson, Owner(405) 455-5330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-27
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Frequently asked questions
- What is Sunnylane Medical Clinic LLC's NPI number?
- Sunnylane Medical Clinic LLC's National Provider Identifier (NPI) is 1255922811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunnylane Medical Clinic LLC?
- Sunnylane Medical Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sunnylane Medical Clinic LLC located?
- Sunnylane Medical Clinic LLC's practice location on file with NPPES is 3916 S Sunnylane Rd, Del City, OK 73115-3656.
- What is Sunnylane Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Sunnylane Medical Clinic LLC is (405) 455-5330.
- Does Sunnylane Medical Clinic LLC accept Medicare?
- Sunnylane Medical Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sunnylane Medical Clinic LLC?
- The authorized official listed on Sunnylane Medical Clinic LLC's NPPES record is Braden Peterson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunnylane Medical Clinic LLC's NPI active?
- Yes — Sunnylane Medical Clinic LLC's NPI (1255922811) is active in the NPPES registry as of the last update on 2023-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.