Individual provider Active NPI

Isitri Modak, MD

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1124066204
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M9508 Issued in TX
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

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000223 TX Practitioner - Internal Medicine 0446284780 Reassigns benefits to 2 organizations

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
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

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 Hospital, Plano, TX, CCN 450771
  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2022 Accepting new patients
Physician Associates of Southwest Dallas Internal Medicine CurrentSince Jun 1, 2008 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.