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DR. SUNNY PATEL MD
NPI 1609370667
Internal Medicine - Endocrinology, Diabetes & Metabolism in Princeton, NJ

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
256 BUNN DR STE D, PRINCETON, NJ 08540(609) 924-4433(609) 924-4423 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2023, Mar 22, 2018 (2 updates tracked since 2018).

About Dr. Sunny Patel Md NPPES

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

DR. SUNNY PATEL MD (NPI 1609370667) is an individual endocrinology, diabetes & metabolism provider in Princeton, New Jersey, licensed in New Jersey (25MA11263000) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609370667
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SUNNY PATELCredential: MD
Location Address256 BUNN DR STE DPrinceton, NJ 08540-2859
Mailing Address256 Bunn Dr Ste DPrinceton, NJ 08540-2859 · (609) 896-0075
Phone(609) 924-4433
Fax(609) 924-4423
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1609370667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA11263000
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 313244 (NY)
256 BUNN DR STE D, Princeton, NJ 08540
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Dr. 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 ID7719221704
PECOS Enrollment IDI20230629001835
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

3

Medicare enrollment records show Sunny Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Health Care Associates Of New Jersey, PC
8.1 mi
Otolaryngology
719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
NPI 1962977249 (908) 271-2102
Advocare, LLC
37 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055
North Shore - Lij Medical PC
56 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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 9

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, 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.
3,240 services35 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.
440 services246 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.
110 services92 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.
79 services79 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
71 services40 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
57 services38 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08540 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. SHERIN ELSA MATHEWS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
256 BUNN DR STE D
PRINCETON, NJ 08540
Mercer County (609) 924-4433
ADVOCARE , LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
256 BUNN DR STE D
PRINCETON, NJ 08540
Mercer County (609) 924-4433

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 1609370667. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Sunny Patel located?

Sunny Patel practices at 256 Bunn Dr Ste D, Princeton, NJ 08540. The listed phone number is (609) 924-4433.

What is Sunny Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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 3 organizations: Clinical Health Care Associates Of New Jersey, PC (Hillsborough, NJ), Advocare, LLC (Marlton, NJ) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Oscar Health 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 University Medical Center Of Princeton At Plainsboro, Saint Peter's University Hospital and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Sunny Patel was last updated on January 16, 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.