NPPES file of Aug 9, 2026

Swomya Prakash Bal, MD

Nephrology Physician · Allentown, PA

Swomya Prakash Bal, MD is a nephrology physician with a practice address in Allentown, Pennsylvania, and NPI 1104197839, issued on Jan 26, 2012. Check the license (Pennsylvania MD451853, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104197839
Name
Swomya Prakash Bal
Credential
MD
Primary taxonomy
Nephrology Physician 207RN0300X
License number
MD451853 PA
Self-reported in NPPES; status is on the state search
Practice location
1901 Hamilton St, Allentown, PA 18104
Phone
(610) 628-7920
Enumerated
Jan 26, 2012
Record last updated
Jun 9, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(610) 821-2853
Medicare enrollment
Enrolled (PECOS I20140728001943); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1901 Hamilton St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Satyam Arora, D.O.Nephrology Physician1275864431
  2. Jose AvilaNephrology Physician1558567875
  3. Nicholas DeschlerOrthopedic Physical Therapist1033923586
  4. Erin DonohuePhysical Therapist1184078925
  5. Jose Garcia, M.D.Internal Medicine Physician1568441442
  6. Nathan Harvey, DPTOrthopedic Physical Therapist1376371468

Verify Swomya Prakash Bal in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD451853
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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24% fewer Medicare Part D claims than the average nephrology physician in 2024

1,111 Medicare Part D claims for 238 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.

  1. Swomya Bal1,111
  2. Specialty average1,465

Most prescribed

  1. Torsemide114 claims
  2. Amlodipine Besylate92 claims
  3. Calcitriol85 claims
  4. Lisinopril82 claims
  5. Carvedilol72 claims
  6. Losartan Potassium71 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 95.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $3.08

1 payment: education; the largest payer was Travere Therapeutics, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Swomya Bal$3.08
  2. Specialty average$3,091.37

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. St Lukes Physician Group IncQuakertown, PA
  2. St Lukes Warren Physician Group PCPhillipsburg, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Swomya Prakash Bal among 651 nephrology physician records in Pennsylvania

Swomya Prakash Bal, MD is one of 651 nephrology physician records with a practice address in Pennsylvania. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 75% of them.

  • NPI issued2012 · 75% of these records are older, 22% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2009 · median 2001 among the 468 with a school on file
  • Record last updated2014 · 57% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Nephrology Physician providers in Pennsylvania

There are 651 nephrology physician records in Pennsylvania.

The 8 nephrology physician records with the nearest ZIP codes

  1. Satyam Arora, D.O.Allentown, PA 181041275864431
  2. Jose AvilaAllentown, PA 181041558567875
  3. Guillermo Carnero Salazar, M.D.Allentown, PA 181041053579714
  4. Dhaval Sureja, M.D.Allentown, PA 181041033434436
  5. Siraj Ahmed, MDAllentown, PA 181031104748656
  6. Syed Ali Aown, M.DAllentown, PA 181031376156752
  7. Vamsee Chirumamilla, MDAllentown, PA 181031518507185
  8. Grace Chong, DOAllentown, PA 181031366978116

Common questions

What is Swomya Prakash Bal, MD's NPI number?

Swomya Prakash Bal, MD's National Provider Identifier (NPI) is 1104197839, issued on Jan 26, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Swomya Prakash Bal, MD located?

The NPPES record lists a practice address at 1901 Hamilton St, Allentown, PA, 18104. Phone: (610) 628-7920. Providers update this record themselves, so call before visiting.

How can I verify Swomya Prakash Bal, MD's license?

NPPES lists Pennsylvania license number MD451853, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Swomya Prakash Bal, MD prescribe under Medicare Part D?

In 2024, Swomya Prakash Bal, MD had 1,111 Medicare Part D claims for 238 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.

What is Swomya Prakash Bal, MD's MIPS final score?

The 2023 MIPS final score is 95.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.