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DR. PAUL V SUNKAVALLI MEDICAL DOCTOR
NPI 1841288495
Pediatrics in Manahawkin, NJ

Active since October 07, 2005PECOS Enrolled
1100 ROUTE 72 W STE 304, MANAHAWKIN, NJ 08050(609) 978-3910(609) 978-3912 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2018, Nov 28, 2018, Feb 22, 2017 (3 updates tracked since 2017).

About Dr. Paul V Sunkavalli Medical Doctor NPPES

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

DR. PAUL V SUNKAVALLI MEDICAL DOCTOR (NPI 1841288495) is an individual pediatrics provider in Manahawkin, New Jersey, licensed in New Jersey (25MA07784500) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841288495
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PAUL V SUNKAVALLICredential: MEDICAL DOCTOR
Location Address1100 ROUTE 72 W STE 304Manahawkin, NJ 08050-2475
Mailing Address1100 Route 72 W Ste 304Manahawkin, NJ 08050-2475 · (609) 978-3910 · Fax (609) 978-3912
Phone(609) 978-3910
Fax(609) 978-3912
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateDecember 12, 20183 updates tracked since enumeration
✔ NPI 1841288495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA07784500
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1100 ROUTE 72 W STE 304, Manahawkin, NJ 08050
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Other Identifiers 1

Medicaid0067016NJ

Accepted Insurance

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

Dr. Paul V Sunkavalli Medical Doctor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Paul Sunkavalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC
43 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
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.

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.

MRS. JENNIFER L WALSH APN
Nurse Practitioner
1100 ROUTE 72 W STE 304
MANAHAWKIN, NJ 08050
Ocean County (609) 978-3910
DR. KIMBERLY GRACE KRZYK MD
Pediatrics
1100 ROUTE 72 W STE 304
MANAHAWKIN, NJ 08050
Ocean County (609) 978-3910

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 Paul Sunkavalli's NPI number?

The NPI number for Paul Sunkavalli is 1841288495. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Paul Sunkavalli located?

Paul Sunkavalli practices at 1100 Route 72 W Ste 304, Manahawkin, NJ 08050. The listed phone number is (609) 978-3910.

What is Paul Sunkavalli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Sunkavalli enrolled in Medicare?

Yes. Paul Sunkavalli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Sunkavalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Sunkavalli reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Paul Sunkavalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Sunkavalli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Sunkavalli was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.