Sonam Balani, APRN
NPI 1770263535 · Gerontology Nurse Practitioner · Denton, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonam Balani, APRN is a Gerontology Nurse Practitioner provider in Denton, TX (NPI 1770263535).
Provider details
- NPI number
- 1770263535
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1020799 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
2 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
309 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 219 | $73 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 55 | $136 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 23 | $67 |
| Assessment of Emotional Or Behavioral Problems96127 | 12 | $4 |
Typical Medicare-allowed amounts for these services range $4–$136 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 68 | 60 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 58 | 50 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 48 | 34 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 30 | 21 |
| Montelukast Sodium | 28 | 17 |
| Cefdinir | 24 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,355 across 45 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2023-07-18
- Certified
- 2023-05-04
Frequently asked questions
- What is Sonam Balani's NPI number?
- Sonam Balani's National Provider Identifier (NPI) is 1770263535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonam Balani's specialty?
- Sonam Balani is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sonam Balani located?
- Sonam Balani's practice location on file with NPPES is 3200 Colorado Blvd, Denton, TX 76210.
- What is Sonam Balani's phone number?
- The practice phone number listed in the NPPES registry for Sonam Balani is (940) 381-0971.
- Does Sonam Balani accept Medicare?
- Sonam Balani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonam Balani's NPI active?
- Yes — Sonam Balani's NPI (1770263535) is active in the NPPES registry as of the last update on 2023-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.