SUNIL K LAL M.D.
NPI 1952320236
Internal Medicine - Gastroenterology in Augusta, GA

Q: What is Sunil Lal's NPI number?

The NPI number for Sunil Lal is 1952320236. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Sunil Lal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Lal was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 18, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3623 J DEWEY GRAY CIR, SUITE 210, AUGUSTA, GA 30909(706) 650-7442(706) 650-7719 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sunil K Lal M.d. NPPES

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

SUNIL K LAL M.D. (NPI 1952320236) is an individual gastroenterology provider in Augusta, Georgia, licensed in Georgia (057877) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1952320236

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSUNIL K LALCredential: M.D.

Location Address3623 J DEWEY GRAY CIR, SUITE 210Augusta, GA 30909-6511

Mailing Address3623 J Dewey Gray Cir, Suite 210Augusta, GA 30909-6511 · (706) 650-7442 · Fax (706) 650-7719

Phone(706) 650-7442

Fax(706) 650-7719

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 18, 2006

Last NPPES UpdateJanuary 24, 2022

✔ NPI 1952320236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in GA · 057877

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3623 J DEWEY GRAY CIR, Augusta, GA 30909

Open in Google Maps ↗

Other Identifiers 1

Medicaid179056131CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 K Lal 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 ID5395748297

PECOS Enrollment IDI20060815000173

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 11

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 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.

499 services300 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

155 services148 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

144 services141 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.

134 services121 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

106 services106 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

38 services38 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

37 services32 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

34 services34 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110177

Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

100/100

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

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

84%2,017 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%1,185 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUGUSTA SPECIALTY HOSPITALISTS LLC

Psychiatry & Neurology (Neurology)

3623 J DEWEY GRAY CIR, SUITE 113
AUGUSTA, GA 30909

Richmond County (706) 855-0422

AUGUSTA PRIMARY CARE SERVICES, LLC

Specialist

3623 J DEWEY GRAY CIR, SUITE 210
AUGUSTA, GA 30909

Richmond County (706) 922-7670

DR. BRIAN G. COX M.D.

Internal Medicine (Nephrology)

3623 J DEWEY GRAY CIR, STE 104
AUGUSTA, GA 30909

Richmond County (706) 855-0566

BRIAN G. COX, M.D., P.C.

Internal Medicine (Nephrology)

3623 J DEWEY GRAY CIR, SUITE 107
AUGUSTA, GA 30909

Richmond County (706) 855-0566

DR. CHRISTOPHER JERNARD HENRY M.D.

Internal Medicine

3623 J DEWEY GRAY CIR, SUITE 113
AUGUSTA, GA 30909

Richmond County (706) 855-0422

GUILLERMO V AMURAO MD PC

Internal Medicine (Pulmonary Disease)

3623 J DEWEY GRAY CIR, STE 107
AUGUSTA, GA 30909

Richmond County (709) 869-0710

JOHN P CARR M D P C

Family Medicine

3623 J DEWEY GRAY CIR, SUITE 201
AUGUSTA, GA 30909

Richmond County (706) 863-0411

M. BEHNIA, MD, PC

Internal Medicine (Pulmonary Disease)

3623 J DEWEY GRAY CIR, STE 107
AUGUSTA, GA 30909

Richmond County (706) 869-0710

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 Lal's NPI number?

The NPI number for Sunil Lal is 1952320236. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Sunil Lal located?

Sunil Lal practices at 3623 J Dewey Gray Cir Suite 210, Augusta, GA 30909. The listed phone number is (706) 650-7442.

What is Sunil Lal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sunil Lal enrolled in Medicare?

Yes. Sunil Lal 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 Sunil Lal accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Sunil Lal 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 Sunil Lal affiliated with any hospitals?

According to CMS data, Sunil Lal is affiliated with Piedmont Augusta Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Lal was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.