SUNIL DAVID ALBERT M.D.
NPI 1245437367
Pain Medicine - Interventional Pain Medicine in Babylon, NY

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
85.2/100
CMS Quality Rating
500 W MAIN ST, SUITE 116, BABYLON, NY 11702(631) 422-6166 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2021, Feb 18, 2016 (2 updates tracked since 2016).

About Sunil David Albert M.d. NPPES

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

SUNIL DAVID ALBERT M.D. (NPI 1245437367) is an individual interventional pain medicine provider in Babylon, New York, licensed in New York (244797) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245437367
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameSUNIL DAVID ALBERTCredential: M.D.
Location Address500 W MAIN ST, SUITE 116Babylon, NY 11702-3027
Mailing Address500 W Main St, Suite 116Babylon, NY 11702-3027 · (631) 422-6166
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 2, 2007
Last NPPES UpdateJune 18, 20212 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
NPI 1245437367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in NY · 244797
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 244797 (NY)
500 W MAIN ST, Babylon, NY 11702

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 David Albert 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 ID5294829891
PECOS Enrollment IDI20070913000152
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 20

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
2,136 services23 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
200 services17 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
188 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
173 services125 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
151 services51 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
78 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11702 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.97
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
85%317 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
93%175 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%909 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
71%790 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
74%1,477 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 412 patients
Patients screened: 87% · 412 patients
81%68 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 92% · 409 patients
Patients screened: 100% · 409 patients
45%53 patients
Provide Patients Electronic Access to Their Health Information
97%540 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pediatrics (Pediatric Cardiology)
500 W MAIN ST, SUITE 204
BABYLON, NY 11702
Acupuncturist
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Anesthesiology (Pain Medicine)
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Family Medicine
500 W MAIN ST
BABYLON, NY 11702
Pain Medicine (Interventional Pain Medicine)
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Physical Medicine & Rehabilitation
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Clinical Neuropsychologist
500 W MAIN ST, SUITE 208
BABYLON, NY 11702
Nurse Practitioner (Family)
500 W MAIN ST, SUITE 116
BABYLON, NY 11702

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 Albert's NPI number?

The NPI number for Sunil Albert is 1245437367. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Sunil Albert located?

Sunil Albert practices at 500 W Main St Suite 116, Babylon, NY 11702. The listed phone number is (631) 422-6166.

What is Sunil Albert's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Sunil Albert enrolled in Medicare?

Yes. Sunil Albert 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.

Is Sunil Albert affiliated with any hospitals?

According to CMS data, Sunil Albert is affiliated with Ns/Lij Hs Southside Hospital and St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Albert was last updated on June 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.