SWAPNA UPPARLAPALLI MD
NPI 1356879514
Family Medicine in Chino, CA

Active since May 31, 2017PECOS EnrolledAccepts Medicare Assignment
5451 WALNUT AVE, CHINO, CA 91710(909) 464-8600 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2021, May 31, 2017 (2 updates tracked since 2017).

About Swapna Upparlapalli Md NPPES

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

SWAPNA UPPARLAPALLI MD (NPI 1356879514) is an individual family medicine provider in Chino, California, licensed in Wisconsin (74968) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356879514
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSWAPNA UPPARLAPALLICredential: MD
Location Address5451 WALNUT AVEChino, CA 91710-2609
Mailing Address2555 N Dr Martin Luther King Jr DrMilwaukee, WI 53212-2709 · (414) 372-8080
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 31, 2017
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1356879514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 74968
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.
5451 WALNUT AVE, Chino, CA 91710

Accepted Insurance

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

Swapna Upparlapalli 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 ID7012326242
PECOS Enrollment IDI20210429000964
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 8

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.

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.
160 services99 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 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.
48 services40 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
24 services24 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
24 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91710 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
5451 WALNUT AVE
CHINO, CA 91710
Emergency Medicine
5451 WALNUT AVE
CHINO, CA 91710
Student in an Organized Health Care Education/Training Program
5451 WALNUT AVE
CHINO, CA 91710
Student in an Organized Health Care Education/Training Program
5451 WALNUT AVE
CHINO, CA 91710
Student in an Organized Health Care Education/Training Program
5451 WALNUT AVE
CHINO, CA 91710
Family Medicine
5451 WALNUT AVE
CHINO, CA 91710
Student in an Organized Health Care Education/Training Program
5451 WALNUT AVE
CHINO, CA 91710
Family Medicine
5451 WALNUT AVE
CHINO, CA 91710

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 Swapna Upparlapalli's NPI number?

The NPI number for Swapna Upparlapalli is 1356879514. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Swapna Upparlapalli located?

Swapna Upparlapalli practices at 5451 Walnut Ave, Chino, CA 91710. The listed phone number is (909) 464-8600.

What is Swapna Upparlapalli's specialty?

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

Is Swapna Upparlapalli enrolled in Medicare?

Yes. Swapna Upparlapalli 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.

What insurance does Swapna Upparlapalli accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Swapna Upparlapalli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Swapna Upparlapalli affiliated with any hospitals?

According to CMS data, Swapna Upparlapalli is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Swapna Upparlapalli was last updated on June 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.