Active NPI
Rishi Ashok Modh, M.D.
- Urology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME127972
- Practice address
- 5747 38TH Ave N
St Petersburg, FL 33710-1925 - Phone
- (727) 381-8667
- NPI assigned
- May 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME127972 | FL | Primary |
Addresses
Primary practice location
5747 38TH Ave N
St Petersburg, FL 33710-1925
Mailing address
12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Miami, LM Miller School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5747 38TH Ave N
St Petersburg, FL 33710-1925
Phone (727) 381-8667
Hospital & facility affiliations
- HCA Florida St Petersburg Hospital
- HCA Florida Northside Hospital
- Morton Plant Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.09 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME127972 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology Institute, LLC | Urology | Current | Accepting new patients |
| Advanced Urology Institute, LLC | Urology | Current | Accepting new patients |
| Advanced Urology Institute LLC | Urology | Past | Accepting new patients |
Locations
430 Morton Plant St
Ste 206
Clearwater, FL 33756
Phone (727) 298-5230
609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707
506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554
12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981
35095 US Highway 19 N
Ste 202
Palm Harbor, FL 34684
Phone (727) 771-0600
1401 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 347-3116
1401 Pasadena Ave S
Ste 4
South Pasadena, FL 33707
Phone (727) 347-3116
5747 38th Ave N
St Petersburg, FL 33710
Phone (727) 381-8667
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
- rmodh54267@direct.nemours.org
Organizations & group practices 3
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.
-
- Urology Physician
- Oxford, FL
- NPI 1023447935
-
- Durable Medical Equipment & Medical Supplies
- Inverness, FL
- NPI 1700024163
Urology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1205880945
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1033401997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12109 COUNTY ROAD 103",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842951",
"telephone_number": "352-205-8981",
"fax_number": "352-391-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5747 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101925",
"telephone_number": "727-381-8667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODH",
"first_name": "RISHI",
"middle_name": "ASHOK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-11",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME127972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.