Active NPI
Isitri Modak, MD
- Internal Medicine Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M9508
- Practice address
- 7000 W Plano Pkwy Ste 250
Plano, TX 75093-8466 - Phone
- (972) 981-7255
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M9508 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 4301086685 | MI |
Addresses
Primary practice location
7000 W Plano Pkwy Ste 250
Plano, TX 75093-8466
Mailing address
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 W Terrell Ave
Suite 300
Fort Worth, TX 76104-2822
Phone (817) 820-4280
Hospital & facility affiliations
- Texas Health Presbyterian Hospital Plano
- Medical City Plano
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Physician Associates of Southwest Dallas | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| University Physician Group | Internal Medicine | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
1300 W Terrell Ave
Ste 300
Fort Worth, TX 76104
Phone (817) 250-7360
7000 W Plano Pkwy
Ste 250
Plano, TX 75093
Phone (888) 806-1928
Interoperability endpoints
- imodak2064619@direct.texashealth.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Internal Medicine
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1124066204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W COLORADO BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082382",
"telephone_number": "214-947-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PLANO PKWY STE 250",
"city": "PLANO",
"state": "TX",
"postal_code": "750938466",
"telephone_number": "972-981-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODAK",
"first_name": "ISITRI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M9508",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301086685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.