Sunil Saxena
NPI 1255364766 · Emergency Medicine Physician · Hoboken, NJ
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunil Saxena is a Emergency Medicine Physician provider in Hoboken, NJ (NPI 1255364766).
Provider details
- NPI number
- 1255364766
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 34143 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
491 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 160 | $100 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 70 | $69 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 58 | $171 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 40 | $118 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 34 | $117 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 195 | 25 |
| Azithromycin | 45 | 45 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 22 | 22 |
| Buprenorphine Hcl/Naloxone Hclbrand: Suboxone | 14 | — |
| Buprenorphine Hcl | 13 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$81 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 200 E Fairman AveWatseka, IL 60970-1644Phone: (815) 432-5841
- 9901 Medical Center DrRockville, MD 20850-3357Phone: (301) 279-6550
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Frequently asked questions
- What is Sunil Saxena's NPI number?
- Sunil Saxena's National Provider Identifier (NPI) is 1255364766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunil Saxena's specialty?
- Sunil Saxena is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sunil Saxena located?
- Sunil Saxena's practice location on file with NPPES is 231 Washington St, Hoboken, NJ 07030-7221.
- What is Sunil Saxena's phone number?
- The practice phone number listed in the NPPES registry for Sunil Saxena is (201) 754-1006.
- Does Sunil Saxena accept Medicare?
- Sunil Saxena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunil Saxena's NPI active?
- Yes — Sunil Saxena's NPI (1255364766) is active in the NPPES registry as of the last update on 2025-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.