Michael David Modica, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

208088 Issued in LA

Practice address

2021 Perdido St FL 5
New Orleans, LA 70112-1352

Phone

(504) 568-5600

Fax

(504) 568-7884

NPI assigned

Mar 26, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

Louisiana State University School of Medicine in New Orleans, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana State University School of Medicine in New Orleans Faculty GGroup PAC ID 0244136448, 445 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Touro Infirmary Hospital, New Orleans, LA, CCN 190046
• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Merit-based Incentive Payment System (MIPS)

Final score

94.21 of 100Reported as group

Quality

81.06

Promoting interoperability

100

Improvement activities

40

Cost

71.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Louisiana State University School of Medicine in New Orleans Faculty G

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  Medicare reassignment Care Compare group NPD
• Louisiana State University School of Medicine in New Orleans Faculty G

  • Durable Medical Equipment & Medical Supplies
  • Kenner, LA
  • NPI 1316417629
  NPD
• Louisiana State University School of Medicine in New Orleans Faculty G

  • Dentist
  • New Orleans, LA
  • NPI 1740534064
  NPD
• Touro Infirmary

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821098286
  NPD (past)

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

• Touro Infirmary

  • Rehabilitation Hospital Unit
  • New Orleans, LA
  • NPI 1588817878
  Care Compare affiliation
• Touro Infirmary

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821098286
  Care Compare affiliation
• West Jefferson Holdings, LLC

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1013334069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST FL 5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-568-5600",
            "fax_number": "504-568-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST FL 5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-568-5600",
            "fax_number": "504-568-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODICA",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "208088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2361490",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Dental Program
• Jasmine M Mobley, BCBA
• Modern Healthcare Billing and Supplies
• Anthony L Modica, MD
• Chauna Modica
• Elizabeth Ann Moehlenpah
• Hallie Lee Moehring, DMD
• Laurie Frances Moeller, D.D.S.
• Dawne D Moffett
• Grace Tregre Moffett, WHNP

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.