Nishi Manojkumar Modi, MBBS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Creighton University School of Medicine, 7701 Mercy Roa
Suite 601
Omaha, NE 68124-2370

Phone

(402) 280-4195

Fax

(402) 280-1184

NPI assigned

Apr 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1144074840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CREIGHTON UNIVERSITY SCHOOL OF MEDICINE, 7701 MERCY ROA",
            "address_2": "SUITE 601",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242370",
            "telephone_number": "402-280-4195",
            "fax_number": "402-280-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREIGHTON UNIVERSITY SCHOOL OF MEDICINE, 7701 MERCY ROA",
            "address_2": "SUITE 601",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242370",
            "telephone_number": "402-280-4195",
            "fax_number": "402-280-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "NISHI",
        "middle_name": "MANOJKUMAR",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Mockelman
• Mod Dermatology PC
• Savanna Modena
• Moderneyes Eyecare & Eyewear, PC
• Neepa Bipin Modi, DDS
• Mike Modica
• Nicholas Modica
• Meh Moe
• Phrew Moe
• Ri Moe

• Student in an Organized Health Care Education/Training Program in Omaha, NE
• Providers in Omaha, NE by specialty
• Student in an Organized Health Care Education/Training Program in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.