SOPHIA BEYENE (DO) – Family Medicine Physician, NPI 1861454993
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for SOPHIA BEYENE (DO)
17500 Foothill Blvd Ste A2
Fontana, CA 923353798
Phone: (909) 428-0170
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
1851 N RIVERSIDE AVE
RIALTO, CA 923768069
Phone: (909) 421-2700
Type: Location
PO BOX 12209
SAN BERNARDINO, CA 924232209
Phone: (909) 335-4188
Type: Mailing
Foothill Boulevard, Fontana, San Bernardino County, California, 92376, United States
FONTANA, CA 923353798
Phone: (909) 428-0170
Fax: (909) 854-3980
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $395.
Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.
Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($296).
Total Amount
$395
General + Research + Ownership
Payments
7
Total payment records
General Amount
$395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $296 |
| GlaxoSmithKline, LLC. | $64 |
| Novo Nordisk Inc | $22 |
| Lilly USA, LLC | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050419001500 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92335)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Family Practice | CA | |
| - | CA | |
| General Practice | NV | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Family Practice | CA |
Reviews
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