Individual provider Active NPI

Kalpana Modi, M.D.

  • Anesthesiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1013915529
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
163632 Issued in NY
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

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00914778MedicaidNY

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

LicenseStateTypeSpecialty
163632NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.