Sunil Patel, MD - Medicare Cardiovascular Disease (cardiology) in Maplewood, NJ

Sunil Patel, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Maplewood, New Jersey. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Ocean Heart Inc and his current practice location is 2010 Springfield Ave, Maplewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 275-9500.

Sunil Patel is licensed to practice in New Jersey (license number MA073729) 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 1255354726.

Contact Information

Sunil Patel, MD
2010 Springfield Ave,
Maplewood, NJ 07040-3437
(973) 275-9500
(973) 275-9501

Map and Direction




Physician's Profile

Full NameSunil Patel
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience28 Years
Location2010 Springfield Ave, Maplewood, New Jersey
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:
  • Sunil Patel graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1255354726
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 03/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3971593393
  • Enrollment ID: I20040517000580

Medical Identifiers

Medical identifiers for Sunil Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255354726NPI-NPPES
0010332MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MA073729 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Newark Beth Israel Medical CenterNewark, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Heart Inc69018547282

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. Sunil Patel allows following entities to bill medicare on his behalf.
Entity NameOcean Heart Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295756641
PECOS PAC ID: 6901854728
Enrollment ID: O20050110000003

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. Sunil Patel 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
Sunil Patel, MD
Po Box 178,
Colonia, NJ 07067-0178

Ph: (973) 275-9500
Sunil Patel, MD
2010 Springfield Ave,
Maplewood, NJ 07040-3437

Ph: (973) 275-9500

Reviews and Comments


Internal Medicine Doctors in Maplewood, NJ

Dr. Samuel T Duncan, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2040 Millburn Ave, Suite 303, Maplewood, NJ 07040
Phone: 973-762-4996    Fax: 973-762-4955
Shailender Karry Mohanrao, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2115 Millburn Ave, Suite L2, Maplewood, NJ 07040
Phone: 973-275-1322    Fax: 973-900-8917
Dr. Segun V Simon, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2130 Millburn Ave, Suite C-3, Maplewood, NJ 07040
Phone: 973-996-2727    Fax: 973-763-2558
Shirish C Patrawalla, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 264 Boyden Ave, Maplewood, NJ 07040
Phone: 973-763-4120    Fax: 973-763-1713
Dr. Khalil Ahmed Kaid,
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2168 Millburn Ave, Suite 204, Maplewood, NJ 07040
Phone: 973-762-3353    Fax: 973-762-3370
Dr. Arvind K Grover, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2168 Millburn Ave, Maplewood, NJ 07040
Phone: 973-763-5765    Fax: 973-763-0505

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.