MR. SUNIL DANIEL BALI M.D.
NPI 1164841235
Internal Medicine - Critical Care Medicine in Atlantis, FL

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
5301 S CONGRESS AVE, ATLANTIS, FL 33462(615) 648-9776 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2020, Mar 20, 2018 (2 updates tracked since 2018).

About Mr. Sunil Daniel Bali M.d. NPPES

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

MR. SUNIL DANIEL BALI M.D. (NPI 1164841235) is an individual critical care medicine provider in Atlantis, Florida, licensed in Florida (ME131809) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164841235
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMR. SUNIL DANIEL BALICredential: M.D.
Location Address5301 S CONGRESS AVEAtlantis, FL 33462-1149
Mailing Address52 W Underwood StOrlando, FL 32806-1110 · (407) 841-5145
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateJune 30, 20202 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
NPI 1164841235 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 FL · ME131809
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 ME131809 (FL)
5301 S CONGRESS AVE, Atlantis, FL 33462

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

Mr. Sunil Daniel Bali M.d. 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 ID42501256
PECOS Enrollment IDI20180427001533
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 4

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.
254 services138 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
71 services31 patients
Manual attempt to restore blood circulation and breathing 92950
This procedure, known as cardiopulmonary resuscitation (CPR), involves chest compressions and rescue breaths to help maintain blood flow and oxygen supply when your heart and breathing have stopped. It's a vital emergency response to save lives.
14 services13 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
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.

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.

Nurse Anesthetist, Certified Registered
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Emergency Medicine
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE, 3 SOUTH
ATLANTIS, FL 33462
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Radiology (Diagnostic Radiology)
5301 S CONGRESS AVE
ATLANTIS, FL 33462
General Acute Care Hospital
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE
ATLANTIS, FL 33462

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 Bali's NPI number?

The NPI number for Sunil Bali is 1164841235. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Sunil Bali located?

Sunil Bali practices at 5301 S Congress Ave, Atlantis, FL 33462. The listed phone number is (615) 648-9776.

What is Sunil Bali's specialty?

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

Is Sunil Bali enrolled in Medicare?

Yes. Sunil Bali 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 Bali accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Sunil Bali 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 Bali affiliated with any hospitals?

According to CMS data, Sunil Bali is affiliated with Hca Florida Jfk Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Bali was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.