DR. SUNIL RAMESHBHAI PATEL MD
NPI 1730482613
Pediatrics - Pediatric Cardiology in Wormleysburg, PA

Active since December 14, 2010PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
1000 N FRONT ST, PEDIATRIC CARDIOLOGY, WORMLEYSBURG, PA 17043(717) 761-0200(717) 761-0641 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 14, 2021, Jan 16, 2021, Sep 22, 2018 and 2 more (5 updates tracked since 2017).

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

NPI1730482613
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SUNIL RAMESHBHAI PATELCredential: MD
Location Address1000 N FRONT ST, PEDIATRIC CARDIOLOGYWormleysburg, PA 17043
Mailing Address1000 N Front StWormleysburg, PA 17043-1034
Fax(717) 761-0641
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 14, 2010
Last NPPES UpdateApril 14, 20215 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1730482613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in PA · MD450042
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1000 N FRONT ST, Wormleysburg, PA 17043

Secondary Practice Location 1

Location 11000 N Front St, Pediatric CardiologyWormleysburg, PA 17043 · Phone (717) 761-0200 · Fax (717) 761-0641

Other Identifiers 1

Medicaid103094827PA

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

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.

PECOS PAC ID3971815812
PECOS Enrollment IDI20150706002232
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.

Hospital Affiliations CMS Care Compare 2

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Promoting Interoperability100
Improvement Activities40
Cost63.26

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.

Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Physician Assistant (Medical)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST, SUITE 200
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
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.

Is Sunil Patel affiliated with any hospitals?

According to CMS data, Sunil Patel is affiliated with Upmc Pinnacle Hospitals and Upmc Memorial.

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.