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DR. SUNIL C PATEL M.D.
NPI 1053402073
General Practice in Forest Hills, NY

Active since September 27, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
6860 AUSTIN ST, SUITE 402, FOREST HILLS, NY 11375(718) 925-6200(718) 925-6210 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sunil C Patel M.d. NPPES

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

DR. SUNIL C PATEL M.D. (NPI 1053402073) is an individual general practice provider in Forest Hills, New York, licensed in New York (178760) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1053402073
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SUNIL C PATELCredential: M.D.
Location Address6860 AUSTIN ST, SUITE 402Forest Hills, NY 11375-4245
Mailing Address6860 Austin St, Suite 402Forest Hills, NY 11375-4245 · (718) 925-6200 · Fax (718) 925-6210
Phone(718) 925-6200
Fax(718) 925-6210
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMarch 6, 2012
✔ NPI 1053402073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 178760
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6860 AUSTIN ST, Forest Hills, NY 11375
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND63235NY

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. Sunil C Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143240242
PECOS Enrollment IDI20051205000458
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 7

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
212 services136 patients
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.
177 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
174 services94 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
93 services93 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
57 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers26 claims61 services$5.55 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims329 services$4.28 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims4,935 services$0.27 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$52.15 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.55 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$9.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HAMMOUD MEDICAL SERVICES PC
Clinic/Center (Health Service)
6860 AUSTIN ST, SUITE 400
FOREST HILLS, NY 11375
Queens County (973) 295-2603
HAIDY REINOSO
Case Manager/Care Coordinator
6860 AUSTIN ST
FOREST HILLS, NY 11375
Queens County (718) 878-4099
DR. TOORAJ ZAHEDI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6860 AUSTIN ST, SUITE 202
FOREST HILLS, NY 11375
Queens County (718) 575-9734
ADVANCED M.R.I., PC-RAYTEL MEDICAL IMAGING-QUEENS
Clinic/Center (Radiology)
6860 AUSTIN ST
FOREST HILLS, NY 11375
Queens County (718) 575-0500
VIKTORIYA ISKHAKOVA
Case Manager/Care Coordinator
6860 AUSTIN ST, SUITE 306
FOREST HILLS, NY 11375
Queens County (718) 878-4099
MOHAMED ABDELMEGEED PT, MSC, DSC
Physical Therapist
6860 AUSTIN ST, SUITE 404
FOREST HILLS, NY 11375
Queens County (718) 880-1716
NOVA CHIROPRACTIC SERVICES PC
Chiropractor
6860 AUSTIN ST, SUITE 404
FOREST HILLS, NY 11375
Queens County (914) 419-3190
TUTORS ON WHEELS
Early Intervention Provider Agency
6860 AUSTIN ST
FOREST HILLS, NY 11375
Queens County (718) 268-0092

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 1053402073. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Sunil Patel located?

Sunil Patel practices at 6860 Austin St Suite 402, Forest Hills, NY 11375. The listed phone number is (718) 925-6200.

What is Sunil Patel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sunil Patel enrolled in Medicare?

Yes. Sunil Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sunil Patel was last updated on March 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.