DR. SUNIT RATILAL PATEL M.D.
NPI 1437184777
Specialist in Merced, CA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3389 G ST STE B, MERCED, CA 95340(209) 384-9400(209) 384-8300 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sunit Ratilal Patel M.d. NPPES

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

DR. SUNIT RATILAL PATEL M.D. (NPI 1437184777) is an individual specialist in Merced, California, licensed in California (A49191) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1437184777
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SUNIT RATILAL PATELCredential: M.D.
Location Address3389 G ST STE BMerced, CA 95340-0964
Mailing AddressPo Box 2778Merced, CA 95344-0778 · (209) 384-9400 · Fax (209) 384-8300
Fax(209) 384-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 12, 2006
Last NPPES UpdateApril 2, 2013
NPI 1437184777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A49191
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A49191 (CA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License A49191 (CA)
3389 G ST STE B, Merced, CA 95340

Other Identifiers 5

Medicare UPINOOA491910CA
Medicare UPINOOA491911CA
Medicare PINZZZ27942ZCA
Medicaid00A491910CA
Medicare PINZZZ27943ZCA

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. Sunit Ratilal Patel 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 ID1052304169
PECOS Enrollment IDI20040407001495
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 28

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 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.
2,882 services1,599 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
423 services416 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.
416 services416 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
412 services405 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
324 services321 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
314 services269 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
20%446 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,054 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
55%1,597 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%1,444 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
52%1,308 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%850 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
55%42 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
93%151 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%1,308 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%1,308 patients1/55-star benchmark: 79%
Sleep Apnea: Assessment of Sleep Symptoms
Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness
80%719 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.

Referred Medical Equipment & Supplies CMS DME claims 52

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

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims1,200 services$0.43 avg. paid by Medicare
Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims192 services$2.57 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers701 claims701 services$36.62 avg. paid by Medicare
Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
1 supplier12 claims350 services$15.84 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier12 claims720 services$5.39 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier13 claims52 services$3.52 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 7

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

Nurse Practitioner
3389 G ST STE B
MERCED, CA 95340
Nurse Practitioner
3389 G ST STE B
MERCED, CA 95340
Nurse Practitioner (Family)
3389 G ST STE B
MERCED, CA 95340
Nurse Practitioner (Family)
3389 G ST STE B
MERCED, CA 95340
Nurse Practitioner (Family)
3389 G ST STE B
MERCED, CA 95340
Nurse Practitioner (Family)
3389 G ST STE B
MERCED, CA 95340
Nurse Practitioner
3389 G ST STE B
MERCED, CA 95340

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 Sunit Patel's NPI number?

The NPI number for Sunit Patel is 1437184777. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Sunit Patel located?

Sunit Patel practices at 3389 G St Ste B, Merced, CA 95340. The listed phone number is (209) 384-9400.

What is Sunit Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sunit Patel enrolled in Medicare?

Yes. Sunit 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.

When was this NPI record last updated?

The NPPES record for Sunit Patel was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.