SUNNY MANDAL DO
NPI 1134812092
Family Medicine in Jacksonville, FL

Q: What is Sunny Mandal's NPI number?

The NPI number for Sunny Mandal is 1134812092. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Q: What is Sunny Mandal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sunny Mandal was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 29, 2023PECOS Enrolled

820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, May 29, 2023 (2 updates tracked since 2023).

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About Sunny Mandal Do NPPES

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

SUNNY MANDAL DO (NPI 1134812092) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (OS24095) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1134812092

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSUNNY MANDALCredential: DO

Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 202-3860

Fax(904) 202-3846

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2023

Enumeration DateMay 29, 2023

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1134812092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS24095

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4183184427

PECOS Enrollment IDI20260904003426

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 Reassignment

Medicare enrollment records show Sunny Mandal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Primary Care Inc

Same address

Infectious Disease

820 PRUDENTIAL DR, SUITE 515
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
569 clinicians in this Medicare group

NPI 1588846869 (904) 396-4886

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

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