Active NPI
Tushar R. Modi, M.D. Inc.
- Internal Medicine Physician
- Modesto, CA
National Provider Identifier
1003230343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TUSHAR R. MODI, M.D. INC.
- Practice address
- 413 E Orangeburg Ave Ste a
Modesto, CA 95350-5369 - Phone
- (209) 529-9600
- Fax
- (209) 544-2620
- NPI assigned
- Feb 6, 2014
- Last updated
- Jun 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tushar R Modi, MD
- Title
- Ceo
- Phone
- (209) 529-9600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
413 E Orangeburg Ave Ste a
Modesto, CA 95350-5369
Mailing address
413 E Orangeburg Ave Ste a
Modesto, CA 95350-5369
Phone (209) 529-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
413 E Orangeburg Ave
Ste A
Modesto, CA 95350
Phone (209) 529-4422
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1679551352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1003230343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 E ORANGEBURG AVE STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505369",
"telephone_number": "209-529-9600",
"fax_number": "209-544-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 E ORANGEBURG AVE STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505369",
"telephone_number": "209-529-9600",
"fax_number": "209-544-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSHAR R. MODI, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-06",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "MODI",
"authorized_official_first_name": "TUSHAR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-529-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Turning Point Community Programs (ECM Stanislaus)
- Turning Point Community Programs
- Turning Point Community Programs (Housing Assessment Team)
- Celia Marisol Turpin
- Ivan James Turpin, PA-C
- Elizabeth R Tutor
- Cameron Tweddle
- Becky Dawn Tyler, MFT
- Kayla Rhiannon Tyler, SUD COUNSELOR
- Megan Michelle Tyler, MSN FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.