Vishal Modi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31490 Issued in AL

Practice address

478 Elm St
Sulligent, AL 35586

Phone

(205) 698-7111

NPI assigned

Feb 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• NWMC-Winfield Physician Practices, LLC

  • Family Medicine Physician
  • Sulligent, AL
  • NPI 1881775914
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1124267570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STRATFORD LN",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355947700",
            "telephone_number": "918-853-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 ELM ST",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "35586",
            "telephone_number": "205-698-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26468",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "31490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamar Regional Health Center Lab
• Lamar Specialty Diagnostics
• Mark D. Land, D.M.D.
• Shana Lann
• Marion Regional Health - Winfield, Inc. (South Marion Primary Care Clinic-Sulligent)
• North Lamar County Rescue Squad, Inc. (North Lamar Emergency Medical Services)
• Northwest Medical Center Inc. (Sulligent Medical Clinic)
• NWMC Lamar Regional Health Center Radiology
• NWMC Winfield Phys-Lamar Reg HC Group
• NWMC-Winfield Physician Practices, LLC

• Family Medicine Physician in Sulligent, AL
• Providers in Sulligent, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.