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DR. SUNNY MEHROTRA M.D.
NPI 1194103986
Family Medicine in Paducah, KY

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
225 MEDICAL CENTER DR STE 304, PADUCAH, KY 42003(270) 538-5596 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2023, Dec 18, 2018, Nov 10, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Sunny Mehrotra M.d. NPPES

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

DR. SUNNY MEHROTRA M.D. (NPI 1194103986) is an individual family medicine provider in Paducah, Kentucky, licensed in Kentucky (50560) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194103986
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUNNY MEHROTRACredential: M.D.
Location Address225 MEDICAL CENTER DR STE 304Paducah, KY 42003-7915
Mailing Address225 Medical Center Dr Ste 304Paducah, KY 42003-7915 · (270) 538-5596
Phone(270) 538-5596
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 12, 2015
Last NPPES UpdateFebruary 14, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1194103986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 50560
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.
225 MEDICAL CENTER DR STE 304, Paducah, KY 42003
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Other Identifiers 1

Medicaid7100439410KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sunny Mehrotra 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 ID6002194214
PECOS Enrollment IDI20260218003483
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 Mehrotra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bayhealth Medical Center, Inc
729 mi
Surgery
724 S NEW ST
Dover, DE 19904
  • Reassigned Medicare billing, Delaware enrollment
  • 272 clinicians in this Medicare group
NPI 1407615388 (302) 674-4070

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 42003 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
9 suppliers26 claims68 services$4.87 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 7

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

MARIAH L HAMBY FNP
Nurse Practitioner (Family)
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003
McCracken County (270) 538-5596
LINDSEY NICOLE LAWRENCE FMP-C
Nurse Practitioner (Family)
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003
McCracken County (270) 538-5596
MEREDITH J ETHERIDGE APRN
Nurse Practitioner (Family)
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003
McCracken County (270) 538-5596
EMILY HUFF APRN
Nurse Practitioner (Family)
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003
McCracken County (270) 538-5596
DR. DARRELL BLAKE LESLIE M.D.
Family Medicine
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003
McCracken County (270) 538-5596
DR. EMILY BRAME THOMAS PSYD
Psychologist (Clinical)
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003
McCracken County (270) 538-5596
CYNTHIA ANN BOWMAN-STROUD M.D.
Internal Medicine
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003
McCracken County (270) 441-4568

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 Mehrotra's NPI number?

The NPI number for Sunny Mehrotra is 1194103986. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Sunny Mehrotra located?

Sunny Mehrotra practices at 225 Medical Center Dr Ste 304, Paducah, KY 42003. The listed phone number is (270) 538-5596.

What is Sunny Mehrotra's specialty?

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

Is Sunny Mehrotra enrolled in Medicare?

Yes. Sunny Mehrotra 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.

Which organization bills Medicare for Sunny Mehrotra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunny Mehrotra reassigns Medicare benefits to Bayhealth Medical Center, Inc (Dover, DE). The 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 Mehrotra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunny Mehrotra accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield Delaware list Sunny Mehrotra 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.

When was this NPI record last updated?

The NPPES record for Sunny Mehrotra was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.