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SUNNY PATEL MD
NPI 1265883359
Pediatrics in Canton, NY

Active since June 29, 2016PECOS Enrolled
4 COMMERCE LN, CANTON, NY 13617(315) 386-8191 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 18, 2025, May 14, 2025, Sep 7, 2023 and 3 more (6 updates tracked since 2016).

About Sunny Patel Md NPPES

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

SUNNY PATEL MD (NPI 1265883359) is an individual pediatrics provider in Canton, New York, licensed in New York (300003) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1265883359
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSUNNY PATELCredential: MD
Location Address4 COMMERCE LNCanton, NY 13617-3739
Mailing Address4 Commerce LnCanton, NY 13617-3739 · (315) 386-8191 · Fax (315) 379-9388
Phone(315) 386-8191
Sole ProprietorNo
Enumeration DateJune 29, 2016
Last NPPES UpdateSeptember 18, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1265883359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 300003✔ Licensed in FL · ME157771
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4 COMMERCE LN, Canton, NY 13617
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Secondary Practice Locations 6

Location 1789 S Federal HwyFort Lauderdale, FL 33316-1218 · Phone (954) 315-5784 · Fax (954) 522-0755
Location 22650 NW 2nd St Ste 100Ocala, FL 34475-6234 · Phone (352) 237-5400 · Fax (352) 236-3091
Location 314141 E Highway 40Silver Springs, FL 34488-3910 · Phone (352) 625-2727 · Fax (352) 625-2728
Location 47960 SW 60th AveOcala, FL 34476-6408 · Phone (352) 671-6741 · Fax (352) 671-6742
Location 55388 S US Highway 41Dunnellon, FL 34432-2042 · Phone (352) 522-1862 · Fax (352) 522-1863
Location 6102 Ford StOgdensburg, NY 13669-1402 · Phone (315) 393-9350

Other Identifiers 2

Medicaid05785951NY
Medicaid116352300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunny Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13617 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

MRS. AMANDA L CREEL NP
Nurse Practitioner (Psychiatric/Mental Health)
4 COMMERCE LN
CANTON, NY 13617
St. Lawrence County (315) 386-8191
MRS. KRYSTAL L ANSON RDH
Dental Hygienist
4 COMMERCE LN
CANTON, NY 13617
St. Lawrence County (315) 379-8100
DR. PEDRO MARIO ALVAREZ JR. DDS
Dentist (General Practice)
4 COMMERCE LN
CANTON, NY 13617
St. Lawrence County (315) 386-8191
MEGAN ASHLEY STONE RDH
Dental Hygienist
4 COMMERCE LN
CANTON, NY 13617
St. Lawrence County (315) 379-9667
MR. BERNARD A SMITH LCSW
Social Worker (Clinical)
4 COMMERCE LN
CANTON, NY 13617
St. Lawrence County (315) 386-8191
MS. MARIA LYNN WESTON RDH
Dental Hygienist
4 COMMERCE LN, UNITED CEREBRAL PALSEY OF THE NORTH COUNTRY
CANTON, NY 13617
St. Lawrence County (315) 386-8191
KIM M. RICHARDS NPP & FNP
Nurse Practitioner (Psychiatric/Mental Health)
4 COMMERCE LN
CANTON, NY 13617
St. Lawrence County (315) 386-8191
JILL GUILES
Dental Hygienist
4 COMMERCE LN
CANTON, NY 13617
St. Lawrence County (315) 386-8191

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 Patel's NPI number?

The NPI number for Sunny Patel is 1265883359. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Sunny Patel located?

Sunny Patel practices at 4 Commerce Ln, Canton, NY 13617. The listed phone number is (315) 386-8191.

What is Sunny Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sunny Patel enrolled in Medicare?

Yes. Sunny Patel is registered in the Medicare PECOS enrollment system.

What insurance does Sunny Patel accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Sunny 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.

When was this NPI record last updated?

The NPPES record for Sunny Patel was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.