Sapna Balwani, - Medicare Obstetrics/gynecology in Lawrenceville, NJ

Sapna Balwani, is a medicare enrolled "Obstetrics & Gynecology" physician in Lawrenceville, New Jersey. She went to Albany Medical College Of Union University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Capital Health Medical Group and her current practice location is 123 Franklin Corner Rd Ste 214, Lawrenceville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 537-7200.

Sapna Balwani is licensed to practice in Pennsylvania (license number MT206671) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003228339.

Contact Information

Sapna Balwani,
123 Franklin Corner Rd Ste 214,
Lawrenceville, NJ 08648-2526
(609) 537-7200
Not Available

Map and Direction




Physician's Profile

Full NameSapna Balwani
GenderFemale
SpecialityObstetrics/gynecology
Experience10 Years
Location123 Franklin Corner Rd Ste 214, Lawrenceville, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sapna Balwani attended and graduated from Albany Medical College Of Union University in 2014
  NPI Data:
  • NPI Number: 1003228339
  • Provider Enumeration Date: 05/21/2014
  • Last Update Date: 04/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779863345
  • Enrollment ID: I20180702001293

Medical Identifiers

Medical identifiers for Sapna Balwani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003228339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MT206671 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Health Medical Group7618264532364

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sapna Balwani allows following entities to bill medicare on her behalf.
Entity NameCapital Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437516887
PECOS PAC ID: 7618264532
Enrollment ID: O20160921000449

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sapna Balwani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sapna Balwani,
100 E Lancaster Ave,
Wynnewood, PA 19096-3450

Ph: (484) 476-2000
Sapna Balwani,
123 Franklin Corner Rd Ste 214,
Lawrenceville, NJ 08648-2526

Ph: (609) 537-7200

Reviews and Comments


Obstetrics & Gynecology Doctors in Lawrenceville, NJ

Bani A Sarma, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Princess Rd, Suite C, Lawrenceville, NJ 08648
Phone: 609-896-0777    Fax: 609-896-3266
Steven Sussman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Franklin Corner Rd, Suite 214, Lawrenceville, NJ 08648
Phone: 609-896-1400    Fax: 609-896-3986
Dr. Eugene Samuel Gamburg, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Princess Rd, Suite C, Lawrenceville, NJ 08648
Phone: 609-896-0777    Fax: 609-896-3266
Seth G Derman, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2 Princess Rd, Ste C, Lawrenceville, NJ 08648
Phone: 609-896-0777    Fax: 609-896-3266
Asha Proctor, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Princess Rd, Suite C, Lawrenceville, NJ 08648
Phone: 609-896-0777    Fax: 609-896-3266
William P Stanell, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Fanklin Corner Rd., Suite 214, Lawrenceville, NJ 08648
Phone: 609-896-1400    Fax: 609-771-0619

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.