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SWARNPAL S. SEKHON MD
NPI 1962580019
Internal Medicine in Fresno, CA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
1275 E SPRUCE AVE, SUITE 101, FRESNO, CA 93720(559) 439-5757(559) 248-9585 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Swarnpal S. Sekhon Md NPPES

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

SWARNPAL S. SEKHON MD (NPI 1962580019) is an individual internal medicine provider in Fresno, California, licensed in California (A79525) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1962580019
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSWARNPAL S. SEKHONCredential: MD
Location Address1275 E SPRUCE AVE, SUITE 101Fresno, CA 93720-3372
Mailing Address1275 E Spruce Ave, Ste. 101Fresno, CA 93720-3372 · (559) 439-5757 · Fax (559) 248-9585
Phone(559) 439-5757
Fax(559) 248-9585
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 2, 2006
Last NPPES UpdateJune 9, 2010
✔ NPI 1962580019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A79525
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A79525 (CA)
1275 E SPRUCE AVE, Fresno, CA 93720
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Other Identifiers 3

Medicaid00A795250CA
Medicare ID-Type Unspecified00A795250
Medicare UPINH68315

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

Swarnpal S. Sekhon 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 ID4688735657
PECOS Enrollment IDI20081209000541
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 11

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.
755 services309 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.
739 services330 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
523 services82 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
282 services74 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.
215 services215 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.
82 services82 patients

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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
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 15

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
35 suppliers108 claims329 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
24 suppliers44 claims59 services$1.05 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers12 claims12 services$28.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims78 services$1.75 avg. paid by Medicare
Gel or gel-like pressure pad for mattress, standard mattress length and width E0185
DME-Other DME · category DE000N
1 supplier11 claims11 services$13.95 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers25 claims25 services$43.52 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 7

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

ALAN M. BIRNBAUM, M.D., INC.
Psychiatry & Neurology (Neurology)
1275 E SPRUCE AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 439-5757
SPRUCE MULTISPECIATLY GROUP
Internal Medicine
1275 E SPRUCE AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 226-0848
DR. MARLEEN SANTOS CORONEL M.D.
Internal Medicine
1275 E SPRUCE AVE, STE 106
FRESNO, CA 93720
Fresno County (559) 439-5757
PATRICK ALLEN GOLDEN M.D.
Internal Medicine
1275 E SPRUCE AVE, SUITE 103
FRESNO, CA 93720
Fresno County (559) 432-0716
DR. KANTAM L. GADE M.D.
Internal Medicine
1275 E SPRUCE AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 226-0848
DR. MICHAEL W. LYNCH M.D.
Internal Medicine
1275 E SPRUCE AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 226-0848
CHRISTINE ANNE ARGUELLO NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
1275 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 439-5757

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 Swarnpal Sekhon's NPI number?

The NPI number for Swarnpal Sekhon is 1962580019. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Swarnpal Sekhon located?

Swarnpal Sekhon practices at 1275 E Spruce Ave Suite 101, Fresno, CA 93720. The listed phone number is (559) 439-5757.

What is Swarnpal Sekhon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Swarnpal Sekhon enrolled in Medicare?

Yes. Swarnpal Sekhon 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.

When was this NPI record last updated?

The NPPES record for Swarnpal Sekhon was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.