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SUNIL SAPRU MD
NPI 1235169558
Internal Medicine in West Orange, NJ

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
101 OLD SHORT HILLS ROAD, SUITE 106, WEST ORANGE, NJ 07052(973) 322-6256(973) 322-6241 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunil Sapru Md NPPES

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

SUNIL SAPRU MD (NPI 1235169558) is an individual internal medicine provider in West Orange, New Jersey, licensed in New Jersey (25MA07568300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1235169558
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUNIL SAPRUCredential: MD
Location Address101 OLD SHORT HILLS ROAD, SUITE 106West Orange, NJ 07052-2507
Mailing Address101 Old Short Hills Road, Suite 106West Orange, NJ 07052-2507 · (973) 322-6256 · Fax (973) 322-6241
Phone(973) 322-6256
Fax(973) 322-6241
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235169558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA07568300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 OLD SHORT HILLS ROAD, West Orange, NJ 07052
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Other Identifiers 1

Medicare UPINH96524NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Sunil Sapru Md 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 ID4486551967
PECOS Enrollment IDI20031213000012
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
153 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 18

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

JENNIFER JAMES NORTON PT
Physical Therapist
101 OLD SHORT HILLS ROAD, SUITE 210
WEST ORANGE, NJ 07052
Essex County (973) 322-6363
DR. ALEX G POPKO D.O.
Obstetrics & Gynecology
101 OLD SHORT HILLS ROAD, SUITE 101
WEST ORANGE, NJ 07052
Essex County (973) 736-1100
PROFESSIONAL ASSOCIATES IN SURGERY, LLP
Surgery
101 OLD SHORT HILLS ROAD, SUITE 206
WEST ORANGE, NJ 07052
Essex County (973) 731-5005
DR. CYRUS J AMATO D.D.S.
Dentist (Oral and Maxillofacial Surgery)
101 OLD SHORT HILLS ROAD, PENTHOUSE II
WEST ORANGE, NJ 07052
Essex County (973) 736-7616
MARISA BUONANNO HAMRAH NP
Nurse Practitioner (Women's Health)
101 OLD SHORT HILLS ROAD, SUITE 400
WEST ORANGE, NJ 07052
Essex County (973) 243-9300
YVETTE A BRIDGES M D P A
Obstetrics & Gynecology
101 OLD SHORT HILLS ROAD, SUITE 505
WEST ORANGE, NJ 07052
Essex County (973) 731-9047
METROPOLITAN CRANIOFACIAL CENTER
Dentist (Oral and Maxillofacial Surgery)
101 OLD SHORT HILLS ROAD, PENTHOUSE II
WEST ORANGE, NJ 07052
Essex County (973) 736-7616
DEBORAH RUTH SPEY M.D.
Specialist
101 OLD SHORT HILLS ROAD, SUITE 410
WEST ORANGE, NJ 07052
Essex County (973) 731-9600

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 Sapru's NPI number?

The NPI number for Sunil Sapru is 1235169558. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Sunil Sapru located?

Sunil Sapru practices at 101 Old Short Hills Road Suite 106, West Orange, NJ 07052. The listed phone number is (973) 322-6256.

What is Sunil Sapru's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunil Sapru enrolled in Medicare?

Yes. Sunil Sapru 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 Sapru accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sunil Sapru 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 Sapru affiliated with any hospitals?

According to CMS data, Sunil Sapru is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Sunil Sapru was last updated on July 8, 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.