Sunil Tonse Pai, M.D.
NPI 1124213582ActiveIndividual· Family Medicine, Adult Medicine· Albuquerque, NM
Opted out of Medicare from July 2014 to July 2028. Family Medicine, Adult Medicine (M.D.) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in September 2007. Part D covered 92 prescriptions written in 2024, 86% of them generic.
Overview
| NPI | 1124213582 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 10, 2007 |
| Last updated in NPPES | Sep 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | 2000-260 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2014 – Jul 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 217 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $1,703 |
| Generic share | 86% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 Family Medicine, Adult Medicine providers in Albuquerque · All Family Medicine, Adult Medicine providers in New Mexico