Individual provider Active NPI

Twincy Modi, PA-C

  • Physician Assistant
  • Solomons, MD
National Provider Identifier
1124839535
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009815 Issued in MD
Practice address
14090 HG Trueman Rd Ste 1300
Solomons, MD 20688-3151
Phone
(410) 394-2800
NPI assigned
Jan 15, 2025
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009815 MD Primary

Addresses

Primary practice location

14090 HG Trueman Rd Ste 1300
Solomons, MD 20688-3151

Mailing address

14090 HG Trueman Rd Ste 1300
Solomons, MD 20688-3151
Phone (410) 394-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250213001987 MD Practitioner - Physician Assistant 0840720355 Reassigns benefits to 1 organization
I20250214000011 DC Practitioner - Physician Assistant 0840720355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

14090 HG Trueman Rd
Suite 1300
Solomons, MD 20688-3151
Phone (410) 394-2800

45325 Abell House LN
California, MD 20619-3211
Phone (301) 862-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management, LLC CurrentSince Feb 5, 2025 Accepting new patients
CRH MD Management LLC CurrentSince Feb 5, 2025 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1124839535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 1300",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-394-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 1300",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-394-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "TWINCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solomons, MD

Sources for this page

Verify at the official NPI Registry.