DR. SUNIL RAMESHBHAI PATEL MD
NPI 1730482613
Pediatrics - Pediatric Cardiology in Wormleysburg, PA
About Dr. Sunil Rameshbhai Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUNIL RAMESHBHAI PATEL MD (NPI 1730482613) is an individual pediatric cardiology provider in Wormleysburg, Pennsylvania, licensed in Pennsylvania (MD450042) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Wormleysburg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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. Sunil Rameshbhai 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sunil Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wormleysburg, PA 17043
- Reassigned Medicare billing, Pennsylvania enrollment
- 132 clinicians in this Medicare group
Harrisburg, PA 17104
- Reassigned Medicare billing, Pennsylvania enrollment
- 468 clinicians in this Medicare group
Williamsport, PA 17701
- Reassigned Medicare billing, Pennsylvania enrollment
- 91 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Pinnacle Hospitals
Acute Care Hospitals · Harrisburg, PAMedicare 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.
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.
WORMLEYSBURG, PA 17043
WORMLEYSBURG, PA 17043
WORMLEYSBURG, PA 17043
WORMLEYSBURG, PA 17043
WORMLEYSBURG, PA 17043
WORMLEYSBURG, PA 17043
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 Sunil Patel's NPI number?
The NPI number for Sunil Patel is 1730482613. It was assigned to this individual provider in the NPPES registry on December 14, 2010.
Where is Sunil Patel located?
Sunil Patel practices at 1000 N Front St Pediatric Cardiology, Wormleysburg, PA 17043. The listed phone number is (717) 761-0200.
What is Sunil Patel's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Sunil Patel enrolled in Medicare?
Yes. Sunil 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 Sunil Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Patel reassigns Medicare benefits to 3 organizations: Pinnacle Health Cardiovascular Institute Inc (Wormleysburg, PA), Pinnacle Health Regional Physicians (Harrisburg, PA) and Susquehanna Physician Services (Williamsport, PA). 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 Sunil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sunil Patel affiliated with any hospitals?
According to CMS data, Sunil Patel is affiliated with Upmc Pinnacle Hospitals.
When was this NPI record last updated?
The NPPES record for Sunil Patel was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Sunil Rameshbhai Patel, MD · NPI 1730482613
Pediatric Cardiology physician in Wormleysburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 14, 2010.
## Identity
- **NPI:** 1730482613 (Entity type: Individual)
- **Enumerated:** December 14, 2010
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD450042 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N FRONT ST, PEDIATRIC CARDIOLOGY, Wormleysburg, PA 17043
- **Phone:** (717) 761-0200 · **Fax:** (717) 761-0641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pinnacle Health Cardiovascular Institute Inc (NPI 1952603342, Wormleysburg, PA); Pinnacle Health Regional Physicians (NPI 1013441690, Harrisburg, PA); Susquehanna Physician Services (NPI 1861431116, Williamsport, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** April 14, 2021
- **Other identifiers:** Medicaid 103094827 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1730482613) · Data from the CMS NPPES public registry.