DR. SUNILDAT D MAHESHWARI M.D.
NPI 1417153164
Family Medicine in Gilbert, AZ

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
652 E WARNER RD, SUITE 107, GILBERT, AZ 85296(480) 539-8680(480) 539-1763 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sunildat D Maheshwari M.d. NPPES

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

DR. SUNILDAT D MAHESHWARI M.D. (NPI 1417153164) is an individual family medicine provider in Gilbert, Arizona, licensed in Arizona (43365) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417153164
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUNILDAT D MAHESHWARICredential: M.D.
Location Address652 E WARNER RD, SUITE 107Gilbert, AZ 85296-3071
Mailing Address652 E Warner Rd, Suite # 107Gilbert, AZ 85296-3071 · (480) 539-8680 · Fax (480) 539-1763
Fax(480) 539-1763
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 21, 2007
Last NPPES UpdateJune 30, 2014
NPI 1417153164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 43365
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

652 E WARNER RD, Gilbert, AZ 85296

Other Identifiers 1

OtherZ141330AZ · Ptan

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

Dr. Sunildat D Maheshwari 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 ID9537356563
PECOS Enrollment IDI20101203000023
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 40

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
2,720 services303 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
2,301 services254 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.
2,049 services994 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,972 services237 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,404 services228 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
257 services257 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85296 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.54

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
31 suppliers88 claims204 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers28 claims30 services$1.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers19 claims19 services$31.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$79.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers12 claims36 services$28.09 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers16 claims16 services$44.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Urgent Care)
652 E WARNER RD, SUITE 107
GILBERT, AZ 85296
Dentist (General Practice)
652 E WARNER RD, STE 101
GILBERT, AZ 85296
Dentist (General Practice)
652 E WARNER RD, SUITE 101
GILBERT, AZ 85296
Dentist
652 E WARNER RD, STE 101
GILBERT, AZ 85296
Dentist
652 E WARNER RD, STE 101
GILBERT, AZ 85296
Family Medicine
652 E WARNER RD, SUITE 107
GILBERT, AZ 85296
Family Medicine
652 E WARNER RD, SUITE 107
GILBERT, AZ 85296
Dentist (General Practice)
652 E WARNER RD, STE 101
GILBERT, AZ 85296

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 Sunildat Maheshwari's NPI number?

The NPI number for Sunildat Maheshwari is 1417153164. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Sunildat Maheshwari located?

Sunildat Maheshwari practices at 652 E Warner Rd Suite 107, Gilbert, AZ 85296. The listed phone number is (480) 539-8680.

What is Sunildat Maheshwari's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sunildat Maheshwari enrolled in Medicare?

Yes. Sunildat Maheshwari 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 Sunildat Maheshwari accept?

Health plans from UnitedHealthcare list Sunildat Maheshwari 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 Sunildat Maheshwari was last updated on June 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.