Individual provider Active NPI

Kulwant Singh Modi, MD,FACP,FASN

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1063414217
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D 0059917 Issued in MD
Practice address
2000 W Baltimore St FL 3
Baltimore, MD 21223-1558
Phone
(410) 362-3400
Fax
(410) 720-2545
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D 0059917 MD Primary

Addresses

Primary practice location

2000 W Baltimore St FL 3
Baltimore, MD 21223-1558

Mailing address

2000 W Baltimore St
Baltimore, MD 21223-1558
Phone (410) 362-3000

Other practice location 1

4310 English Morning Ln
Ellicott City, MD 21043-6790
Phone (410) 418-8740

Other identifiers 1

IdentifierTypeStateIssuer
4018206 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000613 MD Practitioner - NephrologyPractitioner - Internal Medicine 9830110592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 W Baltimore St
FL 3
Baltimore, MD 21223-1558
Phone (410) 362-3331

325 Hospital Dr
Glen Burnie, MD 21061-5860
Phone (410) 766-3092

Hospital & facility affiliations

  • Grace Medical Center Dialysis facility, Baltimore, MD, CCN 212749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D 0059917MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Nephrology Clinic LLC Nephrology CurrentSince Jan 1, 2007 Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients

Locations

2000 W Baltimore St
Fl 3
Baltimore, MD 21223
Phone (410) 362-3331

1940 W Baltimore St
Fl 4
Baltimore, MD 21223
Phone (410) 362-3330

821 N Eutaw St
Ste 303
Baltimore, MD 21201
Phone (410) 225-4455

325 Hospital Dr
Ste 202
Glen Burnie, MD 21061
Phone (410) 766-3092

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBCCA/Endpoint/AHBCCA
  • Direct secure messaging: kmodi49709@direct.umm.edu

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1063414217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231558",
            "telephone_number": "410-362-3000",
            "fax_number": "410-362-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BALTIMORE ST FL 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231558",
            "telephone_number": "410-362-3400",
            "fax_number": "410-720-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 English Morning Ln",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210436790",
            "country_code": "US",
            "telephone_number": "410-418-8740",
            "fax_number": "410-418-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODI",
        "first_name": "KULWANT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD,FACP,FASN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D 0059917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4018206 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.