SUNIL KAMNANI MD
NPI 1538523527
Internal Medicine in Edinburg, TX

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
5423 S MCCOLL RD, EDINBURG, TX 78539(956) 362-8677 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sunil Kamnani Md NPPES

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

SUNIL KAMNANI MD (NPI 1538523527) is an individual internal medicine provider in Edinburg, Texas, licensed in Texas (BP10055790) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538523527
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUNIL KAMNANICredential: MD
Location Address5423 S MCCOLL RDEdinburg, TX 78539-9183
Mailing Address5423 S Mccoll RdEdinburg, TX 78539-9183
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateAugust 3, 2016
NPI 1538523527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · BP10055790
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5423 S MCCOLL RD, Edinburg, TX 78539

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

Sunil Kamnani 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 ID4688963143
PECOS Enrollment IDI20191206002066
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
249 services240 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
63 services60 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services21 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims30 services$13.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims30 services$51.45 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 20

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

Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5423 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5423 S MCCOLL RD
EDINBURG, TX 78539

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538523527, enumerated as an "individual" on April 06, 2016.

The provider is located at 5423 S MCCOLL RD EDINBURG, TX 78539 and the phone number is (956) 362-8677.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, CHRISTUS. Please consult your insurance carrier or call the provider to verify.

Sunil Kamnani is affiliated with: ST DAVID'S MEDICAL CENTER.