SUNNY PATEL MD
NPI 1336583467
Internal Medicine - Rheumatology in Red Oak, TX

Q: What is Sunny Patel's NPI number?

The NPI number for Sunny Patel is 1336583467. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Q: What is Sunny Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Sunny Patel was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment

75.95/100

CMS Quality Rating

106 PLAZA DR, RED OAK, TX 75154(469) 552-6630 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2023, Sep 14, 2018, Jul 24, 2018 (3 updates tracked since 2018).

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About Sunny Patel Md NPPES

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

SUNNY PATEL MD (NPI 1336583467) is an individual rheumatology provider in Red Oak, Texas, licensed in Texas (R5621) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1336583467

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameSUNNY PATELCredential: MD

Location Address106 PLAZA DRRed Oak, TX 75154

Mailing Address106 Plaza DrRed Oak, TX 75154-3981 · (469) 552-6630 · Fax (469) 552-6930

Phone(469) 552-6630

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 19, 2013

Last NPPES UpdateJanuary 24, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2023

✔ NPI 1336583467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in TX · R5621✔ Licensed in LA · MD.303245

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

106 PLAZA DR, Red Oak, TX 75154

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Secondary Practice Location 1

Location 11501 Kings Hwy, RheumatologyShreveport, LA 71103-4228 · Phone (318) 813-2500 · Fax (318) 813-2525

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sunny Patel 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 ID6406106798

PECOS Enrollment IDI20180907000461

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

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.

Dfw Rheumatology And Wellness PLLC

Same address

Rheumatology

106 PLAZA DR STE B
Red Oak, TX 75154

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1548023583 (469) 552-6630

Dfw Rheumatology, PLLC

Infectious Disease

906 SE EVERETT MALL WAY STE 400
Everett, WA 98208

Reassigned Medicare billing, Texas enrollment
2 clinicians in this Medicare group

NPI 1902392954 (833) 696-3349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

88,000 services44 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

16,050 services29 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

11,525 services32 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

2,340 services36 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

2,330 services17 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

502 services84 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

347 services92 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.

150 services117 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

113 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

101 services80 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

62 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Injection, methylprednisolone sodium succinate, up to 40 mg J2920

Methylprednisolone sodium succinate is a corticosteroid medication, administered via injection. It helps reduce inflammation and immune responses. It's often used to treat conditions like arthritis, allergies, or skin diseases. The dosage is up to 40 mg.

33 services23 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450372

Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75154 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

75.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.91

Improvement Activities

Cost

53.28

Reported Quality Measures

e-Prescribing

99%1,654 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

98%864 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 5

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

YOLANDA HENDON

Nurse Practitioner

106 PLAZA DR
RED OAK, TX 75154

Ellis County (972) 515-8700

OAKWOOD MEDICAL SERVICES, PLLC

Pain Medicine (Pain Medicine)

106 PLAZA DR
OVILLA, TX 75154

Ellis County (817) 292-8585

INTERVENTIONAL PAIN PHYSICIANS GROUP, PLLC

Anesthesiology (Pain Medicine)

106 PLAZA DR
RED OAK, TX 75154

Ellis County (972) 636-5727

MYC URGENT CARE LLC

Clinic/Center (Urgent Care)

106 PLAZA DR
RED OAK, TX 75154

Ellis County (972) 515-8700

MC DENTAL

Dentist (General Practice)

106 PLAZA DR
RED OAK, TX 75154

Ellis County (972) 515-8700

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 1336583467. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Sunny Patel located?

Sunny Patel practices at 106 Plaza Dr, Red Oak, TX 75154. The listed phone number is (469) 552-6630.

What is Sunny Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sunny Patel enrolled in Medicare?

Yes. Sunny 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.

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: Dfw Rheumatology And Wellness PLLC (Red Oak, TX) and Dfw Rheumatology, PLLC (Everett, WA). 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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers 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.

Is Sunny Patel affiliated with any hospitals?

According to CMS data, Sunny Patel is affiliated with Baylor Scott & White Medical Center- Waxahachie.

When was this NPI record last updated?

The NPPES record for Sunny Patel was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.