SUNIL PATEL M.D
NPI 1255354726
Internal Medicine - Cardiovascular Disease in Maplewood, NJ
About Sunil Patel M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNIL PATEL M.D (NPI 1255354726) is an individual cardiovascular disease provider in Maplewood, New Jersey, licensed in New Jersey (MA073729) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Sunil Patel 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.
Areas of Expertise CMS Part B claims 49
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
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 Patel's NPI number?
The NPI number for Sunil Patel is 1255354726. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Sunil Patel located?
Sunil Patel practices at 2010 Springfield Ave, Maplewood, NJ 07040. The listed phone number is (973) 275-9500.
What is Sunil Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Sunil Patel enrolled in Medicare?
Yes. Sunil Patel 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 Patel accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Sunil Patel 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 Patel affiliated with any hospitals?
According to CMS data, Sunil Patel is affiliated with Newark Beth Israel Medical Center.
When was this NPI record last updated?
The NPPES record for Sunil Patel was last updated on March 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.