NPIMap

Individual provider Active NPI

Sunil H Patel, MD

  • Internal Medicine Physician
  • Tracy, CA
National Provider Identifier
1730150848
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43957 Issued in CA
Practice address
1470 Bessie Ave
Tracy, CA 95376-3459
Phone
(209) 833-0525
Fax
(209) 830-7361
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43957 CA Primary

Addresses

Primary practice location

1470 Bessie Ave
Tracy, CA 95376-3459

Mailing address

PO Box 1196
Tracy, CA 95378-1196
Phone (209) 833-0525

Other identifiers 1

IdentifierTypeStateIssuer
00A439570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060525000177 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6901817246 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Tracy, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premiercare Physicians a California General PartnershipGroup PAC ID 5799113031, 5 clinicians

Practice addresses (Care Compare)

1470 Bessie Ave
Tracy, CA 95376-3417
Phone (209) 883-0525

Hospital & facility affiliations

  • Warm Springs Home Health, Inc Home health agency, Fremont, CA, CCN 058425
  • Sutter Care at Home Home health agency, Salida, CA, CCN 057695
  • Great Valley Home Health Home health agency, Tracy, CA, CCN 559260
  • Sky Healthcare Home Health Services Home health agency, Pleasanton, CA, CCN 559446
  • Prohealth Home Care, Inc Home health agency, Stockton, CA, CCN 059612
  • Amore Hospice, Inc Hospice, Pleasonton, CA, CCN B21732
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Tracy Nursing and Rehabilitation Center Nursing home, Tracy, CA, CCN 555080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43957CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premiercare Physicians a California General Partnership CurrentSince Jan 1, 2020 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Dr Sunil Patel Internal Medicine PastSince Aug 24, 1987 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1144 Norman Dr
Ste 204
Manteca, CA 95336
Phone (209) 665-4252

531 W Yosemite Ave
Manteca, CA 95337
Phone (209) 833-0525

1470 Bessie Ave
Tracy, CA 95376
Phone (209) 833-0525

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: spatel14039@hpmg.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tracy Nursing and Rehabilitation CenterTracy, CA, CCN 555080 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Atmc LLC
    • Skilled Nursing Facility
    • Tracy, CA
    • NPI 1972865301

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1730150848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953781196",
            "telephone_number": "209-833-0525",
            "fax_number": "209-830-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763459",
            "telephone_number": "209-833-0525",
            "fax_number": "209-830-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNIL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A439570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.