Patricia Isabel Modad, M.D., F.A.C.O.G.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME103310 Issued in FL

Practice address

50 Leanni Way
Suites A3 & A4
Palm Coast, FL 32137-4751

Phone

(386) 447-6831

Fax

(386) 447-6834

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Patricia Isabel Gomez-Modad Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Arizona College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3144/brand/1/csg/1/fhir/r4

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.

• Patricia Modad, MD, PA

  • Obstetrics & Gynecology Physician
  • Palm Coast, FL
  • NPI 1942590401
  Medicare reassignment NPD Authorized official
• Community Hospitals of Indiana Inc

  • Obstetrics & Gynecology Physician
  • Anderson, IN
  • NPI 1750306338
  NPD (past)

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

• Adventhealth Palm Coast Parkway Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Halifax Hospital Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227
  Care Compare affiliation
• Memorial Hospital Flagler Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1104847466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 351295",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321371295",
            "telephone_number": "386-447-6831",
            "fax_number": "386-447-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY",
            "address_2": "SUITES A3 & A4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374751",
            "telephone_number": "386-447-6831",
            "fax_number": "386-447-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODAD",
        "first_name": "PATRICIA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01053870A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME103310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001042100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GOMEZ-MODAD",
            "middle_name": "ISABEL",
            "prefix": "DR.",
            "credential": "M.D., F.A.C.O.G.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Lester Talan Mitchell, PT, DPT
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• Nicole Moffett, SLPA
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• Moises Dobarganes Arnp PA
• Trinity N Moment

• Obstetrics & Gynecology Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.