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ANUPAMA SUNKAVALLI M.D.
NPI 1669676375
Obstetrics & Gynecology in Matawan, NJ

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
19 TREVOR PL, MATAWAN, NJ 07747(732) 566-5395 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anupama Sunkavalli M.d. NPPES

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

ANUPAMA SUNKAVALLI M.D. (NPI 1669676375) is an individual obstetrics & gynecology provider in Matawan, New Jersey, licensed in New Jersey (25MA08219500) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1669676375
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANUPAMA SUNKAVALLICredential: M.D.
Location Address19 TREVOR PLMatawan, NJ 07747-9702
Mailing Address19 Trevor PlMatawan, NJ 07747-9702 · (732) 566-5395
Phone(732) 566-5395
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 14, 2007
Last NPPES UpdateApril 13, 2011
✔ NPI 1669676375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA08219500
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
19 TREVOR PL, Matawan, NJ 07747
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Anupama Sunkavalli 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 ID2668567140
PECOS Enrollment IDI20070928000017
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
109 services109 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.
81 services67 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
80 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07747 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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 Anupama Sunkavalli's NPI number?

The NPI number for Anupama Sunkavalli is 1669676375. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Anupama Sunkavalli located?

Anupama Sunkavalli practices at 19 Trevor Pl, Matawan, NJ 07747. The listed phone number is (732) 566-5395.

What is Anupama Sunkavalli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anupama Sunkavalli enrolled in Medicare?

Yes. Anupama Sunkavalli 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.

What insurance does Anupama Sunkavalli accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Anupama Sunkavalli 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 Anupama Sunkavalli affiliated with any hospitals?

According to CMS data, Anupama Sunkavalli is affiliated with Community Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Anupama Sunkavalli was last updated on April 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.