Individual provider Active NPI

Tanvisha Mody, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New Hyde Park, NY
National Provider Identifier
1124475751
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
322629 Issued in NY
Practice address
2 Ohio Dr Ste 201
New Hyde Park, NY 11042-1111
Phone
(516) 390-5760
Fax
(516) 390-5765
NPI assigned
May 24, 2016
Reactivated
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 322629 NY Primary

Addresses

Primary practice location

2 Ohio Dr Ste 201
New Hyde Park, NY 11042-1111

Mailing address

2 Ohio Dr Ste 201
New Hyde Park, NY 11042-1111
Phone (516) 390-5760

Other identifiers 1

IdentifierTypeStateIssuer
RJK1OOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210804001981 FL Practitioner - Internal MedicinePractitioner - Endocrinology 6901180744 Reassigns benefits to 1 organization
I20240112001115 NY Practitioner - Endocrinology 6901180744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PC 1,013 clinicians

Practice addresses (Care Compare)

16450 Crossbay Blvd
FL 2
Howard Beach, NY 11414-3749
Phone (718) 622-7405

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322629NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Accent Physician Specialists PA Endocrinology, Diabetes & Metabolism CurrentSince Aug 23, 2021 Accepting new patients
Optum Medical Care, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Nov 4, 2023 Accepting new patients
Accent Physician Specialists, P.a. CurrentSince Aug 23, 2021 Accepting new patients
Optum Medical Care, P.C. CurrentSince Nov 4, 2023 Accepting new patients
Prohealth Care Associates LLP Internal Medicine PastSince Feb 4, 2024 Accepting new patients
Mount Kisco Medical Group Endocrinology, Diabetes & Metabolism PastSince Feb 4, 2024 Accepting new patients

Locations

4340 Newberry Rd
Ste 301
Gainesville, FL 32607

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1124475751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OHIO DR STE 201",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421111",
            "telephone_number": "516-390-5760",
            "fax_number": "516-390-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OHIO DR STE 201",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421111",
            "telephone_number": "516-390-5760",
            "fax_number": "516-390-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "TANVISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-02-02",
        "certification_date": "2024-01-25",
        "deactivation_date": "2021-06-21",
        "reactivation_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "322629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RJK1O",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.