Active NPI 1710966775 Individual Practitioner Male Practitioner

Dr. Sunil Paul Verma , MD, MPH

Internal Medicine • Middletown, RI

Professional Overview & Biography Verified Profile Summary

Dr. Sunil Verma, MD, MPH is a registered healthcare professional specializing in Internal Medicine in Middletown, RI. Practice services are available at 333 GREEN END AVE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

333 Green End Ave

Middletown, RI 028425620

Telephone 4012139532

Fax 4012232941

Associated Practice Facility / Clinic

🏢 Health Resources Of Middletown R I Inc Facility NPI 1568419372

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middletown, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Middletown, RI (1079 Statewide)

Telehealth Adoption Rate

38.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	558	122	$175.96	$107.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	156	53	$119.55	$74.29
99306 Initial nursing facility visit, typically 45 minutes per day	120	100	$240.00	$181.03
99315 Nursing facility discharge day management, 30 minutes or less	45	43	$150.00	$81.06
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	30	$195.00	$132.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	600	111	$160.00	$107.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	160	46	$119.61	$75.31
99306 Initial nursing facility visit, typically 45 minutes per day	119	98	$240.00	$182.64
99315 Nursing facility discharge day management, 30 minutes or less	73	68	$150.00	$81.71
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	16	$71.88	$40.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	587	147	$157.95	$92.36
99306 Initial nursing facility visit, typically 45 minutes per day	169	148	$238.75	$167.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	113	38	$117.57	$70.13
99315 Nursing facility discharge day management, 30 minutes or less	59	57	$150.00	$73.45
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	22	$195.00	$130.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	13	$73.64	$44.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	504	147	$159.77	$93.75
99306 Initial nursing facility visit, typically 45 minutes per day	161	139	$240.00	$171.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	115	57	$120.00	$71.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	63	25	$121.87	$93.75
99315 Nursing facility discharge day management, 30 minutes or less	41	40	$150.00	$75.01
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	30	$195.00	$133.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	405	133	$160.00	$91.38
99306 Initial nursing facility visit, typically 45 minutes per day	120	111	$240.00	$165.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	90	46	$120.00	$69.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	51	29	$148.84	$93.21
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	38	28	$80.00	$44.36
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	20	$195.00	$129.64
99315 Nursing facility discharge day management, 30 minutes or less	24	24	$150.00	$73.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	601	174	$160.00	$91.39
99306 Initial nursing facility visit, typically 45 minutes per day	205	166	$240.00	$165.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	156	83	$120.00	$69.06
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	66	65	$195.00	$130.38
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	58	41	$80.00	$44.32
99315 Nursing facility discharge day management, 30 minutes or less	39	39	$150.00	$73.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	25	$124.99	$95.65
99318 Nursing facility annual assessment, typically 30 minutes	24	24	$169.79	$95.79
99316 Nursing facility discharge management, more than 30 minutes	19	19	$165.00	$105.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	548	176	$160.00	$93.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	368	140	$120.00	$70.43
99306 Initial nursing facility visit, typically 45 minutes per day	215	173	$240.00	$169.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	68	68	$195.00	$132.39
99315 Nursing facility discharge day management, 30 minutes or less	63	62	$150.00	$73.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	39	29	$80.00	$45.29
99316 Nursing facility discharge management, more than 30 minutes	18	18	$165.00	$107.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	205	108	$160.00	$93.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	201	93	$120.00	$70.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	169	85	$120.00	$71.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	137	80	$160.00	$93.90
99306 Initial nursing facility visit, typically 45 minutes per day	125	109	$240.00	$170.90
99306 Initial nursing facility visit, typically 45 minutes per day	94	77	$240.00	$170.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	44	43	$193.30	$133.26
99315 Nursing facility discharge day management, 30 minutes or less	31	30	$149.03	$75.20
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	14	$80.00	$45.78
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	16	$195.00	$133.56

Medical Specialties & State Licenses

CMS Verified: 2022-08-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD13022

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 256439

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CT 52820

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

SV51405 (RI)

Secondary Practice Locations

940 Belmont St

Brockton, MA 023015596

Phone: 8008653384

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Debra Martin , PTA

Physical Therapy Assistant

NPI 1023134343

Physical Therapist Assistant

Katherine Perugini

Occupational Therapy Assistant

NPI 1043615719

Kathleen Casimiro , MPT

Physical Therapist

NPI 1063539294

Master of Physical Therapy

Jie Lin , PA-C

Physician Assistant

NPI 1073439931

Physician Assistant (Certified)

Elizabeth Poulton

Physical Therapist

NPI 1073900189

Erin Blanchette

Speech-Language Pathologist

NPI 1164205258

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2023

Internal Medicine (License #256439 in MA)

📍

Updated Practice Location July 10, 2022

Registered at 333 GREEN END AVE, MIDDLETOWN, RI 028425620 (Tel: 4012139532)

📍

Updated Business Mailing Address May 02, 2019

Registered at 60 LINDSAY LN, CRANSTON, RI 029213562 (Tel: 4012139532)

✅

NPI Profile Active April 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2016

Registered at 215 TOLL GATE RD, SUITE 303, WARWICK, RI 028864458 (Tel: 4014688111)

📍

Updated Business Mailing Address April 20, 2016

Registered at 215 TOLL GATE RD, SUITE 303, WARWICK, RI 028864458 (Tel: 4014688111)

👤

Provider Name / Credentials Updated April 20, 2016

Recorded as SUNIL VERMA, MD, MPH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2016

Internal Medicine (License #52820 in CT)

🟢

Initial NPI Registration & Enumeration January 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710966775

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 10, 2006

Last Update: June 22, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

60 Lindsay Ln

Cranston, RI 029213562

Phone: 4012139532

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.