Sunil Rameshbhai Patel, MD
Pediatric Cardiology Physician · Wormleysburg, PA
Sunil Rameshbhai Patel, MD is a pediatric cardiology physician with a practice address in Wormleysburg, Pennsylvania, and NPI 1730482613, issued on Dec 14, 2010. Check the license (Pennsylvania MD450042, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Sunil Rameshbhai Patel
- Credential
- MD
- Primary taxonomy
- Pediatric Cardiology Physician 2080P0202X
- License number
- MD450042 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1000 N Front St, Wormleysburg, PA 17043
- Phone
- (717) 761-0200
- Enumerated
- Dec 14, 2010
- Record last updated
- Apr 14, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (717) 761-0641
- Medicaid ID
- 103094827 PA
- Medicare enrollment
- Enrolled (PECOS I20150706002232); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatric cardiology physician records → All 178 in Pennsylvania → Look up another NPI →
Also registered at 1000 N Front St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Shweta Aggarwal, MDCardiovascular Disease Physician1053568972
- William Apollo, M.D.Cardiovascular Disease Physician1629079587
- Kunal Bodiwala, MDCardiovascular Disease Physician1043496789
- Gouthami Boga, MDCardiovascular Disease Physician1043466881
- Todd Bokelman, M.D.Cardiovascular Disease Physician1881695724
- Agnes ChangRegistered Nurse1871682369
Verify Sunil Rameshbhai Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD450042Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
5% more Medicare Part D claims than the average pediatric cardiology physician in 2024
78 Medicare Part D claims for 11 beneficiaries, against an average of 74 among the 518 providers of this specialty who prescribed in Part D. Brand-name drugs were 24% of claims.
Most prescribed
- Furosemide17 claims
- Midodrine Hcl12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Pinnacle Health Cardiovascular Institute IncLititz, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sunil Rameshbhai Patel among 178 pediatric cardiology physician records in Pennsylvania
Sunil Rameshbhai Patel, MD is one of 178 pediatric cardiology physician records with a practice address in Pennsylvania. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 64% of them.
- NPI issued2010 · 64% of these records are older, 34% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileYes · 47% of these records are
- Graduated2006 · median 2003 among the 84 with a school on file
- Record last updated2021 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0202X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 pediatric cardiology physician records list a practice address in Wormleysburg
They are 3 of the 198 NPPES records with a practice address in Wormleysburg, and 178 pediatric cardiology physician records in Pennsylvania.
All 178 in Pennsylvania → Every provider in Wormleysburg → Pediatric Cardiology Physician nationwide →
The 8 pediatric cardiology physician records with the nearest ZIP codes
- Michael Consevage, M.D.Wormleysburg, PA 170431780685537
- Christopher Zachary, MDWormleysburg, PA 170431952302705
- Shaji Menon, MDMechanicsburg, PA 170501841278066
- Adam Seitz, MDMechanicsburg, PA 170501730560152
- Elizabeth Adams, DOHershey, PA 170331780885434
- Anastasia BarrosHershey, PA 170331649809930
- Andrew Corson, MDHershey, PA 170331568090199
- Thomas Dispenza, M.D.Hershey, PA 170331093932352
Common questions
What is Sunil Rameshbhai Patel, MD's NPI number?
Sunil Rameshbhai Patel, MD's National Provider Identifier (NPI) is 1730482613, issued on Dec 14, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Sunil Rameshbhai Patel, MD located?
The NPPES record lists a practice address at 1000 N Front St, Wormleysburg, PA, 17043. Phone: (717) 761-0200. Providers update this record themselves, so call before visiting.
How can I verify Sunil Rameshbhai Patel, MD's license?
NPPES lists Pennsylvania license number MD450042, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sunil Rameshbhai Patel, MD prescribe under Medicare Part D?
In 2024, Sunil Rameshbhai Patel, MD had 78 Medicare Part D claims for 11 beneficiaries; the average among pediatric cardiology physician prescribers was 74. Part D covers Medicare prescriptions only.
What is Sunil Rameshbhai Patel, MD's MIPS final score?
The 2023 MIPS final score is 79 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.