DR. SWOMYA PRAKASH BAL MD
NPI 1104197839
Internal Medicine - Nephrology in Allentown, PA

Q: What is Swomya Bal's NPI number?

The NPI number for Swomya Bal is 1104197839. It was assigned to this individual provider in the NPPES registry on January 26, 2012.

Q: What is Swomya Bal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Swomya Bal was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since January 26, 2012PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

1901 HAMILTON ST, SUITE 300, ALLENTOWN, PA 18104(610) 628-7920(610) 821-2853 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Swomya Prakash Bal Md NPPES

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

DR. SWOMYA PRAKASH BAL MD (NPI 1104197839) is an individual nephrology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD451853) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1104197839

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SWOMYA PRAKASH BALCredential: MD

Location Address1901 HAMILTON ST, SUITE 300Allentown, PA 18104-6459

Mailing Address1901 Hamilton St, Suite 300Allentown, PA 18104-6459 · (610) 628-7920 · Fax (610) 821-2853

Phone(610) 628-7920

Fax(610) 821-2853

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 26, 2012

Last NPPES UpdateJune 9, 2014

✔ NPI 1104197839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · MD451853

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1901 HAMILTON ST, Allentown, PA 18104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Swomya Prakash Bal Md 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 ID8729204797

PECOS Enrollment IDI20140728001943, I20140814002289

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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

538 services236 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

309 services212 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

232 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

115 services67 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

98 services94 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

61 services58 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

54 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

46 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services45 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

14 services13 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

14 services11 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390162

Location250 South 21st StreetEaston, PA 18042 · Northampton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers23 claims2,100 services$0.98 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers14 claims14 services$18.94 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers18 claims18 services$11.92 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 15

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

NICOLE SAGL PT, DPT

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DR. DAWSON KENT KERCH DPT, PT

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DHAVAL SUREJA M.D.

Internal Medicine (Nephrology)

1901 HAMILTON ST, SUITE 300
ALLENTOWN, PA 18104

Lehigh County (610) 628-7920

NICHOLAS DESCHLER

Physical Therapist (Orthopedic)

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DR. MATTHEW KOVALCHICK DPT

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

ERIN DONOHUE

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DR. SATYAM ARORA D.O.

Internal Medicine (Nephrology)

1901 HAMILTON ST, SUITE 300
ALLENTOWN, PA 18104

Lehigh County (610) 628-7920

NATHAN HARVEY DPT

Physical Therapist (Orthopedic)

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2933

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 Swomya Bal's NPI number?

The NPI number for Swomya Bal is 1104197839. It was assigned to this individual provider in the NPPES registry on January 26, 2012.

Where is Swomya Bal located?

Swomya Bal practices at 1901 Hamilton St Suite 300, Allentown, PA 18104. The listed phone number is (610) 628-7920.

What is Swomya Bal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Swomya Bal enrolled in Medicare?

Yes. Swomya Bal 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.

Is Swomya Bal affiliated with any hospitals?

According to CMS data, Swomya Bal is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Swomya Bal was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.