Dr Sunil Nihalani, MD - Medicare Internal Medicine in Lake Wales, FL

Dr Sunil Nihalani, MD is a medicare enrolled "Internal Medicine" physician in Lake Wales, Florida. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Florida Medical Specialists Llc and his current practice location is 405 S 11th St, Lake Wales, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 679-8000.

Dr Sunil Nihalani is licensed to practice in Florida (license number ME74564) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164455770.

Contact Information

Dr Sunil Nihalani, MD
405 S 11th St,
Lake Wales, FL 33853-4202
(863) 679-8000
(863) 679-8008

Map and Direction




Physician's Profile

Full NameDr Sunil Nihalani
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location405 S 11th St, Lake Wales, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sunil Nihalani graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1164455770
  • Provider Enumeration Date: 07/08/2006
  • Last Update Date: 08/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507875861
  • Enrollment ID: I20111222000150

Medical Identifiers

Medical identifiers for Dr Sunil Nihalani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164455770NPI-NPPES
74564OtherFLMEDICAL LICENSE
070257900MedicaidFL
44347OtherFLBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME74564 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth Lake WalesLake wales, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Medical Specialists Llc579978668773

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sunil Nihalani allows following entities to bill medicare on his behalf.
Entity NameRidge Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271931
PECOS PAC ID: 8426067786
Enrollment ID: O20060413000513
Entity NameFlorida Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750399598
PECOS PAC ID: 5799786687
Enrollment ID: O20070726000554

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sunil Nihalani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sunil Nihalani, MD
Po Box 25487,
Sarasota, FL 34277-2487

Ph: (941) 216-0072
Dr Sunil Nihalani, MD
405 S 11th St,
Lake Wales, FL 33853-4202

Ph: (863) 679-8000

Reviews and Comments


Internal Medicine Doctors in Lake Wales, FL

Dr. Caroline C Honculada, M D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 425 S 11th St Ste 1, Lake Wales, FL 33853
Phone: 863-679-9494    Fax: 863-679-8866
Dr. Mahesh Gandhi Allam, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1110 Druid Cir, Lake Wales, FL 33853
Phone: 863-877-2411    Fax: 863-354-6617
Mr. O'shaine Brown, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 410 S 11th St, Lake Wales, FL 33853
Phone: 863-676-1433    
Dr. Carolyn D Pass, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853
Phone: 863-679-8815    Fax: 863-679-8335
Ricardo James Navarro, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1137 Druid Cir, Lake Wales, FL 33853
Phone: 863-949-6541    Fax: 863-949-6538
Dr. Boris Dalton Nunez, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 320 State Road 60 E, Lake Wales, FL 33853
Phone: 863-679-7985    Fax: 863-679-1865

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.