SUNAY ASHOK PATEL DO
NPI 1417511858
Pain Medicine - Interventional Pain Medicine in Lawrenceville, GA

Q: What is Sunay Patel's NPI number?

The NPI number for Sunay Patel is 1417511858. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Q: What is Sunay Patel's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Sunay Patel was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 30, 2019PECOS Enrolled

455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2024, Apr 9, 2021, Apr 30, 2019 (3 updates tracked since 2019).

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About Sunay Ashok Patel Do NPPES

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

SUNAY ASHOK PATEL DO (NPI 1417511858) is an individual interventional pain medicine provider in Lawrenceville, Georgia, licensed in Georgia (101619) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1417511858

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameSUNAY ASHOK PATELCredential: DO

Location Address455 PHILIP BLVD STE 140Lawrenceville, GA 30046-8768

Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643

Phone(770) 962-3642

Fax(770) 962-3643

Sole ProprietorNo

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2018

Enumeration DateApril 30, 2019

Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1417511858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in GA · 101619

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

455 PHILIP BLVD STE 140, Lawrenceville, GA 30046

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Secondary Practice Location 1

Location 1658 N Chase St Ste 101Athens, GA 30601-1960 · Phone (770) 962-3642 · Fax (770) 962-3643

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunay Ashok Patel Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375903750

PECOS Enrollment IDI20241024003766

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 Reassignment

Medicare enrollment records show Sunay Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Pain And Wellness Center

Same address

Interventional Pain Medicine

455 PHILIP BLVD, BLDG 100, STE 140
Lawrenceville, GA 30046

Reassigned Medicare billing, Georgia enrollment
58 clinicians in this Medicare group

NPI 1356781181 (770) 962-3642

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 3

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.

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.

129 services101 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

39 services32 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

29 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

DEBORAH WILKENS FNP-C

Nurse Practitioner (Family)