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SUNNY DHARIA DO
NPI 1053948588
Internal Medicine - Critical Care Medicine in Albany, NY

Active since March 25, 2020PECOS Enrolled
47 NEW SCOTLAND AVE DEPT. OF INTERNAL MEDICINE, ALBANY, NY 12208(518) 262-3593 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sunny Dharia Do NPPES

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

SUNNY DHARIA DO (NPI 1053948588) is an individual critical care medicine provider in Albany, New York, licensed in New York (321893) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053948588
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSUNNY DHARIACredential: DO
Location Address47 NEW SCOTLAND AVE DEPT. OF INTERNAL MEDICINEAlbany, NY 12208-3412
Mailing Address47 New Scotland Ave Dept. Of Internal MedicineAlbany, NY 12208-3412
Phone(518) 262-3593
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1053948588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NY · 321893
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 321893 (NY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 321893 (NY)
47 NEW SCOTLAND AVE DEPT. OF INTERNAL MEDICINE, Albany, NY 12208
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Secondary Practice Locations 2

Location 12 New Hampshire AveTroy, NY 12180-1764 · Phone (518) 272-0331 · Fax (518) 271-9007
Location 25 Palisades Dr Ste 100Albany, NY 12205-6433 · Phone (518) 438-4496 · Fax (518) 438-5803

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunny Dharia Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Sunny Dharia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany Medical College
Same address
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
St. Peter's Health Partners Medical Associates, P.C.
1.3 mi
Urology
319 S MANNING BLVD STE 106
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
NPI 1487081923 (518) 438-1019

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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
234 services82 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Sunny Dharia's NPI number?

The NPI number for Sunny Dharia is 1053948588. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Sunny Dharia located?

Sunny Dharia practices at 47 New Scotland Ave Dept. Of Internal Medicine, Albany, NY 12208. The listed phone number is (518) 262-3593.

What is Sunny Dharia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sunny Dharia enrolled in Medicare?

Yes. Sunny Dharia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sunny Dharia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunny Dharia reassigns Medicare benefits to 2 organizations: Albany Medical College (Albany, NY) and St. Peter's Health Partners Medical Associates, P.C. (Albany, NY). 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 Sunny Dharia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sunny Dharia was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.