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DR. SUNIL TONSE PAI M.D.
NPI 1124213582
Family Medicine - Adult Medicine in Albuquerque, NM

Active since September 10, 2007Opted out of Medicare · through Jul 1, 2028
7920 WYOMING BLVD NE, SUITE B, ALBUQUERQUE, NM 87109(505) 821-6300(505) 828-3773 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Sunil Tonse Pai M.d. NPPES

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

DR. SUNIL TONSE PAI M.D. (NPI 1124213582) is an individual adult medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2000-260) and active in the NPI registry since September 2007. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124213582
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. SUNIL TONSE PAICredential: M.D.
Location Address7920 WYOMING BLVD NE, SUITE BAlbuquerque, NM 87109-6020
Mailing Address7920 Wyoming Blvd Ne, Suite BAlbuquerque, NM 87109-6020 · (505) 821-6300 · Fax (505) 828-3773
Phone(505) 821-6300
Fax(505) 828-3773
Sole ProprietorYes
Enumeration DateSeptember 10, 2007
✔ NPI 1124213582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NM · 2000-260
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
7920 WYOMING BLVD NE, Albuquerque, NM 87109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sunil Tonse Pai M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Other Providers at the Same Location NPPES 3

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

MR. CARL B TAYLOR MA-CCC/A
Audiologist-Hearing Aid Fitter
7920 WYOMING BLVD NE, SUITE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 821-6715
DR. ROLANDO C HALL D.O.M. L.A.P.
Acupuncturist
7920 WYOMING BLVD NE, SUITE B
ALBUQUERQUE, NM 87109
Bernalillo County (505) 821-6300
PREMIER HEARING CENTER LLC
Audiologist-Hearing Aid Fitter
7920 WYOMING BLVD NE, SUITE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 299-4327

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 Pai's NPI number?

The NPI number for Sunil Pai is 1124213582. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Sunil Pai located?

Sunil Pai practices at 7920 Wyoming Blvd NE Suite B, Albuquerque, NM 87109. The listed phone number is (505) 821-6300.

What is Sunil Pai's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Sunil Pai enrolled in Medicare?

No. Sunil Pai has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sunil Pai was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.