1. Home
  2. Directory
  3. Georgia
  4. Sandy Springs
  5. Ophthalmology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SWETANGI D BHALEEYA M.D.
NPI 1629226782
Ophthalmology - Retina Specialist in Sandy Springs, GA

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
5995 BARFIELD RD, SANDY SPRINGS, GA 30328(678) 781-7373 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Mar 30, 2021, Mar 23, 2016 (3 updates tracked since 2016).

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 is a graduate of University Of Arkansas College Of Medicine (2006).

NPPES Registry Identity

NPI1629226782
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameSWETANGI D BHALEEYACredential: M.D.
Location Address5995 BARFIELD RDSandy Springs, GA 30328-4411
Mailing Address5901a Peachtree Dunwoody Rd Ste 500Sandy Springs, GA 30328-5341 · (678) 781-7373
Phone(678) 781-7373
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2006
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1629226782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in GA · 113142
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 113142 (GA), ME 110270 (FL)
5995 BARFIELD RD, Sandy Springs, GA 30328
Open in Google Maps ↗

Other Names 1

Other Name (5)Swetangiben D Bhaleeya M. D.

Other Identifiers 2

Medicaid003931800FL
Other14F57FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.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

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.

PECOS PAC ID8527239573
PECOS Enrollment IDI20110922000474
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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
461 services222 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
441 services238 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
258 services31 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
162 services44 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
128 services103 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
51 services33 patients

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, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%37 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%88 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. JERRY E BERLAND M.D.
Ophthalmology
5995 BARFIELD RD
SANDY SPRINGS, GA 30328
Fulton County (404) 256-1507
DR. PAUL L KAUFMAN M.D.
Ophthalmology
5995 BARFIELD RD
SANDY SPRINGS, GA 30328
Fulton County (404) 256-1507
BETHANY BUICE
Anesthesiologist Assistant
5995 BARFIELD RD
SANDY SPRINGS, GA 30328
Fulton County (770) 702-1806
PATRICIA ANN BROWN COT, OSA
Technician/Technologist (Ophthalmic Assistant)
5995 BARFIELD RD
SANDY SPRINGS, GA 30328
Fulton County (678) 892-2020
DR. JOHN T COBB M.D.
Ophthalmology
5995 BARFIELD RD
SANDY SPRINGS, GA 30328
Fulton County (404) 256-1507
DR. DAVID JEFFREY SACKEL MD, MBA
Ophthalmology
5995 BARFIELD RD, THOMAS EYE GROUP
ATLANTA, GA 30328
Fulton County (678) 892-2020
DR. KENNETH R NEUFELD M.D.
Ophthalmology
5995 BARFIELD RD
SANDY SPRINGS, GA 30328
Fulton County (404) 256-1507
DR. JESSICA DUREL MCCLUSKEY MD
Ophthalmology
5995 BARFIELD RD
SANDY SPRINGS, GA 30328
Fulton County (678) 892-2020

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.

What insurance does Swetangi Bhaleeya accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers 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 24 days 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.