SWETANGI D BHALEEYA M.D.
NPI 1629226782
Ophthalmology - Retina Specialist in Sandy Springs, GA
About Swetangi D Bhaleeya M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWETANGI D BHALEEYA M.D. (NPI 1629226782) is an individual retina specialist in Sandy Springs, Georgia, licensed in Georgia (113142) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Tampa.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
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
Swetangi D Bhaleeya M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Swetangi Bhaleeya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandy Springs, GA 30328
- Reassigned Medicare billing, Georgia enrollment
- 70 clinicians in this Medicare group
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 1,079 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tampa General Hospital
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANDY SPRINGS, GA 30328
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 Swetangi Bhaleeya's NPI number?
The NPI number for Swetangi Bhaleeya is 1629226782. It was assigned to this individual provider in the NPPES registry on September 3, 2008. The provider is also known as Swetangiben D Bhaleeya M. D..
Where is Swetangi Bhaleeya located?
Swetangi Bhaleeya practices at 5995 Barfield Rd, Sandy Springs, GA 30328. The listed phone number is (678) 781-7373.
What is Swetangi Bhaleeya's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Swetangi Bhaleeya enrolled in Medicare?
Yes. Swetangi Bhaleeya 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 Swetangi Bhaleeya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Swetangi Bhaleeya reassigns Medicare benefits to 2 organizations: Thomas Eye Group PC (Sandy Springs, GA) and University Medical Service Association Inc (Tampa, FL). 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 Swetangi Bhaleeya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Swetangi Bhaleeya accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Molina Healthcare and UnitedHealthcare list Swetangi Bhaleeya 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 Swetangi Bhaleeya affiliated with any hospitals?
According to CMS data, Swetangi Bhaleeya is affiliated with Tampa General Hospital.
When was this NPI record last updated?
The NPPES record for Swetangi Bhaleeya was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Swetangi D Bhaleeya, M.D. · NPI 1629226782
Retina Specialist physician in Sandy Springs, Georgia. Individual provider, active in the CMS NPPES registry since September 3, 2008.
## Identity
- **NPI:** 1629226782 (Entity type: Individual)
- **Enumerated:** September 3, 2008
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** 113142 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5995 BARFIELD RD, Sandy Springs, GA 30328-4411
- **Phone:** (678) 781-7373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thomas Eye Group PC (NPI 1548271992, Sandy Springs, GA); University Medical Service Association Inc (NPI 1538360425, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** July 28, 2026
- **Other identifiers:** Medicaid 003931800 (FL); Other 14F57 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1629226782) · Data from the CMS NPPES public registry.