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SWETHA BALLI
NPI 1063991370
Family Medicine in Fresno, CA

Active since August 08, 2018PECOS EnrolledAccepts Medicare Assignment
1105 E SPRUCE AVE STE 201, FRESNO, CA 93720(559) 450-2630(559) 450-0351 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2025, Aug 23, 2023, Jan 3, 2022 and 2 more (5 updates tracked since 2018).

About Swetha Balli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWETHA BALLI (NPI 1063991370) is an individual family medicine provider in Fresno, California, licensed in California (A174790) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063991370
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSWETHA BALLI
Location Address1105 E SPRUCE AVE STE 201Fresno, CA 93720-3313
Mailing Address1685 E Home AveFresno, CA 93728-2027 · (559) 457-6900 · Fax (559) 400-8432
Phone(559) 450-2630
Fax(559) 450-0351
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 8, 2018
Last NPPES UpdateJuly 11, 20255 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1063991370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A174790
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1105 E SPRUCE AVE STE 201, Fresno, CA 93720
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Secondary Practice Locations 2

Location 1250 W 5th StHanford, CA 93230-5029 · Phone (877) 960-3426
Location 21685 E Home AveFresno, CA 93728-2027 · Phone (559) 457-6900 · Fax (559) 400-8432

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swetha Balli is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214288984
PECOS Enrollment IDI20211104002948
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Swetha Balli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Agnes Medical Foundation
0.2 mi
Internal Medicine
1303 E HERNDON AVE, SUITE 850
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 296 clinicians in this Medicare group
NPI 1558819482 (559) 450-5611
Family Healthcare Network
1.3 mi
Federally Qualified Health Center (FQHC)
7060 N RECREATION AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 276 clinicians in this Medicare group
NPI 1902439789 (559) 737-4700
Clinica Sierra Vista
5.2 mi
Federally Qualified Health Center (FQHC)
1945 N FINE AVE STE 100
Fresno, CA 93727
  • Reassigned Medicare billing, California enrollment
  • 140 clinicians in this Medicare group
NPI 1720347149 (559) 457-5650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims28 services$3.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HOLUPATHIRAGE KALHARA CALDERA MBBS
Family Medicine (Sports Medicine)
1105 E SPRUCE AVE STE 201
FRESNO, CA 93720
Fresno County (559) 450-2630
CHRISTINE BENNETT FNP-C
Nurse Practitioner (Family)
1105 E SPRUCE AVE STE 201
FRESNO, CA 93720
Fresno County (559) 450-7217
KURENE MEI-HO FONG PA-C
Physician Assistant
1105 E SPRUCE AVE STE 201
FRESNO, CA 93720
Fresno County (559) 450-2630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swetha Balli's NPI number?

The NPI number for Swetha Balli is 1063991370. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Swetha Balli located?

Swetha Balli practices at 1105 E Spruce Ave Ste 201, Fresno, CA 93720. The listed phone number is (559) 450-2630.

What is Swetha Balli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Swetha Balli enrolled in Medicare?

Yes. Swetha Balli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Swetha Balli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swetha Balli reassigns Medicare benefits to 3 organizations: Saint Agnes Medical Foundation (Fresno, CA), Family Healthcare Network (Fresno, CA) and Clinica Sierra Vista (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Swetha Balli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Swetha Balli was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.