Individual provider

Sunil Patel, MD

Pediatric Cardiology Physician Medicare enrolled

Sunil Patel, MD is a Pediatric Cardiology Physician in Wormleysburg, PA, registered under NPI 1730482613.

Getting there

The practice address on file is 1000 N FRONT ST PEDIATRIC CARDIOLOGY, Wormleysburg, PA 17043. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1000 N FRONT ST PEDIATRIC CARDIOLOGY, Wormleysburg, PA 17043 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD450042 PA Pediatric Cardiology Physician primary

This provider holds licence MD450042 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Cardiovascular Disease (cardiology)
PAC ID
3971815812
Enrollment ID
I20150706002232

Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiovascular Disease (cardiology). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatric Cardiology covers

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. NUCC Health Care Provider Taxonomy, code 2080P0202X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Cardiology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1730482613 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 14, 2010
Last updatedApr 14, 2021
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1000 N FRONT ST
PEDIATRIC CARDIOLOGY
Wormleysburg, PA 17043
(717) 761-0200
Fax (717) 761-0641
Other identifiers 103094827 · Medicaid (PA)
The last update on file is Apr 14, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1730482613 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 3 0 4 8 2 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 6 0 8 8 4 6 2

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1730482613?
NPI 1730482613 is the National Provider Identifier assigned to Sunil Patel, MD in Wormleysburg, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Cardiology cover?
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
How do I contact Sunil Patel, MD?
The phone number on file with NPPES is (717) 761-0200, last updated Apr 14, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sunil Patel, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1730482613 a valid number?
Yes. 1730482613 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.