SUNIL ARUN ATHAVALE MD
NPI 1669530127
Psychiatry & Neurology - Psychiatry in Houston, TX

Q: What is Sunil Athavale's NPI number?

The NPI number for Sunil Athavale is 1669530127. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Sunil Athavale's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Athavale was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 05, 2006PECOS EnrolledAccepts Medicare Assignment

85.72/100

CMS Quality Rating

9401 SOUTHWEST FWY, HOUSTON, TX 77074(713) 970-7000 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2020, Jul 26, 2019, Jun 3, 2019 (3 updates tracked since 2019).

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About Sunil Arun Athavale Md NPPES

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

SUNIL ARUN ATHAVALE MD (NPI 1669530127) is an individual psychiatry provider in Houston, Texas, licensed in Texas (L9609) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2002).

NPPES Registry Identity

NPI1669530127

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSUNIL ARUN ATHAVALECredential: MD

Location Address9401 SOUTHWEST FWYHouston, TX 77074-1407

Mailing Address9401 Southwest FwyHouston, TX 77074-1407 · (713) 970-7000

Phone(713) 970-7000

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2002

Enumeration DateDecember 5, 2006

Last NPPES UpdateMarch 26, 20203 updates tracked since enumeration

NPPES CertifiedMarch 26, 2020

✔ NPI 1669530127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · L9609

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

9401 SOUTHWEST FWY, Houston, TX 77074

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Other Identifiers 2

Medicaid179437203TX

Medicaid179437204TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.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 Arun Athavale 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 ID1951394550

PECOS Enrollment IDI20060316000617

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 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.

79 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

40 services17 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.

23 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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

$176.98 typical visit price

range $58.24 – $176.98

Typical copayment $44.24 (range $14.56 – $44.24)

Most-billed visit code 99205

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

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.

85.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.73

Improvement Activities

Cost

87.58

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.

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