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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: November 08, 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
Open in Google Maps ↗

Secondary Practice Locations 6

Location 15388 S US Highway 41Dunnellon, FL 34432-2042 · Phone (352) 522-1862 · Fax (352) 522-1863
Location 2102 Ford StOgdensburg, NY 13669-1402 · Phone (315) 393-9350
Location 314141 E Highway 40Silver Springs, FL 34488-3910 · Phone (352) 625-2727 · Fax (352) 625-2728
Location 42650 NW 2nd St Ste 100Ocala, FL 34475-6234 · Phone (352) 237-5400 · Fax (352) 236-3091
Location 5789 S Federal HwyFort Lauderdale, FL 33316-1218 · Phone (954) 315-5784 · Fax (954) 522-0755
Location 67960 SW 60th AveOcala, FL 34476-6408 · Phone (352) 671-6741 · Fax (352) 671-6742

Other Identifiers 2

Medicaid05785951NY
Medicaid116352300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sunny Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Cerebral Palsy Association Of The North Country, Inc.
Same address
Federally Qualified Health Center (FQHC)
4 COMMERCE LN
Canton, NY 13617
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
NPI 1467432765 (315) 386-1156
Massena Hospital Inc
27 mi
Critical Access
1 HOSPITAL DR
Massena, NY 13662
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
NPI 1972604460 (315) 769-4200

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 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.

Which organizations bill Medicare for Sunny Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunny Patel reassigns Medicare benefits to 2 organizations: United Cerebral Palsy Association Of The North Country, Inc. (Canton, NY) and Massena Hospital Inc (Massena, NY). Each 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 Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunny Patel accept?

Health plans from AmeriHealth Caritas Next and Wellpoint 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 13 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.