Active NPI
Maxwell Joseph Modrak, M.D.
- Orthopaedic Hand Surgery Physician
- Pittsburgh, PA
National Provider Identifier
1013560846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 36979
- Practice address
- 3471 Fifth Avenue
Kauffmann BLDG, Suite 1010
Pittsburgh, PA 15213 - Phone
- (585) 275-2100
- NPI assigned
- Jul 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 36979 | WV | Primary |
Addresses
Primary practice location
3471 Fifth Avenue
Kauffmann BLDG, Suite 1010
Pittsburgh, PA 15213
Mailing address
3600 Forbes Avenue
Forbes Tower-Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (585) 613-1148
Other practice location 1
30 Medical Park Ste 101
Wheeling, WV 26003-6391
Phone (304) 243-3290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mmodrak431702@direct.ynhh.org
- maxwell.modrak@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1013560846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE",
"address_2": "FORBES TOWER-PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "585-613-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 FIFTH AVENUE",
"address_2": "KAUFFMANN BLDG, SUITE 1010",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "585-275-2100"
}
],
"practiceLocations": [
{
"address_1": "30 Medical Park Ste 101",
"address_purpose": "LOCATION",
"city": "Wheeling",
"state": "WV",
"postal_code": "260036391",
"country_code": "US",
"telephone_number": "304-243-3290",
"fax_number": "304-243-7120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODRAK",
"first_name": "MAXWELL",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-21",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WV",
"license": "36979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.