Individual provider Active NPI

Sarena Balon, PA

  • Physician Assistant
  • Johnston, RI
National Provider Identifier
1114657335
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01884 Issued in RI
Practice address
1239 Hartford Ave Ste 3
Johnston, RI 02919-7137
Phone
(401) 209-1730
Fax
(401) 209-1731
NPI assigned
Jun 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01884 RI Primary

Addresses

Primary practice location

1239 Hartford Ave Ste 3
Johnston, RI 02919-7137

Mailing address

154 Great Rd
Bedford, MA 01730-2725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220908001063 MA Practitioner - Physician Assistant 9739563842 Reassigns benefits to 1 organization
I20260424002643 RI Practitioner - Physician Assistant 9739563842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Urgent Care Professionals PCGroup PAC ID 8820248784, 41 clinicians
Mdri LLCGroup PAC ID 6406291632, 17 clinicians

Practice addresses (Care Compare)

1019 Trapelo Rd
Waltham, MA 02452-5002
Phone (774) 400-4084

1030 Main St
Waltham, MA 02451-7447
Phone (781) 894-6900

1210 Boylston St
Chestnut Hill, MA 02467-2109
Phone (774) 400-4084

1239 Hartford Ave
Suite 3
Johnston, RI 02919-7137
Phone (401) 209-1730

154 Great Rd
Bedford, MA 01730-2725
Phone (781) 430-8161

4110 Mystic Valley Pkwy
Suite 2
Medford, MA 02155-6916
Phone (774) 400-4084

648 Old W Central St
Franklin, MA 02038-3826
Phone (774) 400-4084

Hospital & facility affiliations

  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01884RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mdri LLC CurrentSince Apr 20, 2026 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Aug 20, 2022 Accepting new patients
Mdri LLC CurrentSince Apr 20, 2026 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

1239 Hartford Ave
Ste 3
Johnston, RI 02919
Phone (401) 209-1730

6 Blackstone Valley Pl
Ste 201
Lincoln, RI 02865
Phone (401) 335-4515

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1114657335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 GREAT RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 HARTFORD AVE STE 3",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197137",
            "telephone_number": "401-209-1730",
            "fax_number": "401-209-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALON",
        "first_name": "SARENA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.