DR. SUNIL C PATEL MD
NPI 1033189584
Internal Medicine - Hematology & Oncology in Boca Raton, FL

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
9980 CENTRAL PARK BLVD N, SUITE 216, BOCA RATON, FL 33428(561) 482-6611(561) 482-3056 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2018, Nov 15, 2016, Mar 29, 2016 and 4 more (7 updates tracked since 2016).

About Dr. Sunil C Patel Md NPPES

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

DR. SUNIL C PATEL MD (NPI 1033189584) is an individual hematology & oncology provider in Boca Raton, Florida, licensed in Florida (ME48046) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1033189584
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SUNIL C PATELCredential: MD
Location Address9980 CENTRAL PARK BLVD N, SUITE 216Boca Raton, FL 33428-1762
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(561) 482-3056
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 26, 2006
Last NPPES UpdateSeptember 11, 20187 updates tracked since enumeration
NPI 1033189584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in FL · ME48046
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License ME48046 (FL)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License ME48046 (FL)
9980 CENTRAL PARK BLVD N, Boca Raton, FL 33428

Other Identifiers 9

Other5047031FL · Aetna
Other1256813FL · Wellcare
Other017446FL · Avmed
Other94414FL · Bcbs
OtherP971794FL · Optimum
Other3210FL · Dimension Health
OtherP1034139FL · Freedom
Other2940469FL · Cigna
OtherP01607917FL · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sunil C Patel Md 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 ID3072572452
PECOS Enrollment IDI20110321000632
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.

Areas of Expertise CMS Part B claims 38

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
35,700 services33 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
18,400 services17 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
7,200 services24 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
5,800 services56 patients
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
5,320 services34 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,699 services422 patients

Hospital Affiliations CMS Care Compare 3

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33428 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
80%919 patients3/55-star benchmark: 100%
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 20

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

Podiatrist
9980 CENTRAL PARK BLVD N, SUITE 106
BOCA RATON, FL 33428
Occupational Therapist
9980 CENTRAL PARK BLVD N, SUITE 102
BOCA RATON, FL 33428
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
9980 CENTRAL PARK BLVD N
BOCA RATON, FL 33428
Clinic/Center (Physical Therapy)
9980 CENTRAL PARK BLVD N, 220
BOCA RATON, FL 33428
Internal Medicine (Cardiovascular Disease)
9980 CENTRAL PARK BLVD N, SUITE 304
BOCA RATON, FL 33428
Specialist
9980 CENTRAL PARK BLVD N, SUITE 114
BOCA RATON, FL 33428
Pediatrics
9980 CENTRAL PARK BLVD N, SUITE 108
BOCA RATON, FL 33428
Specialist
9980 CENTRAL PARK BLVD N, SUITE 114
BOCA RATON, FL 33428

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 Sunil Patel's NPI number?

The NPI number for Sunil Patel is 1033189584. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Sunil Patel located?

Sunil Patel practices at 9980 Central Park Blvd N Suite 216, Boca Raton, FL 33428. The listed phone number is (561) 482-6611.

What is Sunil Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sunil Patel enrolled in Medicare?

Yes. Sunil Patel 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.

What insurance does Sunil Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Sunil Patel 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 Sunil Patel affiliated with any hospitals?

According to CMS data, Sunil Patel is affiliated with Boca Raton Regional Hospital, Delray Medical Center and West Boca Medical Center.

When was this NPI record last updated?

The NPPES record for Sunil Patel was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.