Nadeem Y Modan, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

209671 Issued in NC

Practice address

170 Manning Dr
1St Floor, Physician'S Office Building, CB #7594
Chapel Hill, NC 27599-7594

Phone

(919) 966-6442

NPI assigned

May 6, 2015

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

Medicare fee-for-service enrollment

Enrolled in NC, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

Geisel School of Medicine at Dartmouth, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kinston Physicians Group PLLCGroup PAC ID 6204087919, 13 clinicians

Methodist South Emergency Physicians, PLLCGroup PAC ID 6406205608, 48 clinicians

Kernersville Emergency Group, PLLCGroup PAC ID 3375885429, 53 clinicians

Piedmont Triad Physicians PLLCGroup PAC ID 6406197334, 37 clinicians

Robeson Emergency Physicians PLLCGroup PAC ID 3870846934, 29 clinicians

Tarheel Emergency Group, PLLCGroup PAC ID 6709268576, 40 clinicians

The Carolinas Emergency Group, PLLCGroup PAC ID 2567486814, 62 clinicians

Tanglewood Park Physicians PLLCGroup PAC ID 3476895129, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027
• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075
• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042
• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nmodan31403@mlh.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: nmodan104696@capefearvalley.direct-ci.com
• Direct secure messaging: nadeem.modan.1@15189.direct.athenahealth.com
• Direct secure messaging: nmodan100850@direct.unc.nchie.net

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.

• Kernersville Emergency Group, PLLC

  • Emergency Medicine Physician
  • Kernersville, NC
  • NPI 1750852034
  Medicare reassignment Care Compare group NPD
• Kinston Physicians Group, PLLC

  • Emergency Medicine Physician
  • Kinston, NC
  • NPI 1689923757
  Medicare reassignment Care Compare group NPD
• Piedmont Triad Physicians, PLLC

  • Emergency Medicine Physician
  • Thomasville, NC
  • NPI 1295206464
  Medicare reassignment Care Compare group NPD
• Robeson Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1801375373
  Medicare reassignment Care Compare group NPD
• Tanglewood Park Physicians, PLLC

  • Emergency Medicine Physician
  • Clemmons, NC
  • NPI 1093286379
  Medicare reassignment Care Compare group NPD
• Tarheel Emergency Group, PLLC

  • Emergency Medicine Physician
  • Jacksonville, NC
  • NPI 1386388874
  Medicare reassignment Care Compare group NPD
• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836
  Medicare reassignment Care Compare group NPD
• Methodist South Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1609657873
  Medicare reassignment Care Compare group NPD
• Brunswick Physician Partners, PLLC

  • Emergency Medicine Physician
  • Bolivia, NC
  • NPI 1457822264
  Medicare reassignment NPD
• Bull City Physicians, PLLC

  • Emergency Medicine Physician
  • Henderson, NC
  • NPI 1770004285
  Medicare reassignment NPD
• Gem Capital Physicians, PLLC

  • Emergency Medicine Physician
  • Louisburg, NC
  • NPI 1225524598
  Medicare reassignment NPD
• University of North Carolina at Chapel Hill

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200

  Emergency Medicine

  Medicare reassignment NPD

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

• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Rutherford College, NC
  • NPI 1306821798
  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Valdese, NC
  • NPI 1487707964

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Morganton, NC
  • NPI 1700860491
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414

  Hospital

  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Kinston, NC
  • NPI 1962446385
  Care Compare affiliation
• Onslow Memorial Hospital Inc

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation
• Southeastern Regional Medical Center

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774
  Care Compare affiliation

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1043697311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 POTTER LN",
            "address_2": "UNIT 301",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037484165",
            "telephone_number": "908-380-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DR",
            "address_2": "1ST FLOOR, PHYSICIAN'S OFFICE BUILDING, CB #7594",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997594",
            "telephone_number": "919-966-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODAN",
        "first_name": "NADEEM",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "209671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Mizenko, MS
• Mobile Healthcare by Germain Healthcare PLLC
• Megan Clarke Mobley, P.T.
• Michelle F Mobley
• Jason Robert Mock, M.D., PH.D.
• Modern Ritual Health PC
• Modern Ritual Health PC
• Jaymin J Modi, DO
• Priya Mody, M.D.
• Michelle Anne Moffa, MD

• Emergency Medicine Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Emergency Medicine Physician in North Carolina

• 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.
• 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.