Active NPI
Kalpana Modi, M.D.
- Anesthesiology Physician
- Poughkeepsie, NY
National Provider Identifier
1013915529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 163632
- Practice address
- 1 Webster Ave Ste 505
Bedford Anesthesia PLLC
Poughkeepsie, NY 12601-1363 - Phone
- (845) 452-0555
- Fax
- (845) 452-0550
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 163632 | NY | Primary |
Addresses
Primary practice location
1 Webster Ave Ste 505
Bedford Anesthesia PLLC
Poughkeepsie, NY 12601-1363
Mailing address
1 Webster Ave Ste 505
Bedford Anesthesia PLLC
Poughkeepsie, NY 12601-1363
Phone (845) 452-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00914778 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163632 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of St. Francis, P.C | Past | Accepting new patients | |
| Eastern Pain Medicine PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Poughkeepsie, NY
- NPI 1649223488
-
- Pain Medicine (Anesthesiology) Physician
- Fishkill, NY
- NPI 1831475896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1013915529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WEBSTER AVE STE 505",
"address_2": "BEDFORD ANESTHESIA PLLC",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011363",
"telephone_number": "845-452-0555",
"fax_number": "845-452-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WEBSTER AVE STE 505",
"address_2": "BEDFORD ANESTHESIA PLLC",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011363",
"telephone_number": "845-452-0555",
"fax_number": "845-452-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "KALPANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "163632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00914778",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.