Sushil S. Mody, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD422414 Issued in PA

Practice address

175 E Brown St
Suite 108
E Stroudsburg, PA 18301-3098

Phone

(570) 476-3585

Fax

(570) 421-9014

NPI assigned

Mar 21, 2006

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smody105372@direct2.lvhn.org

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.

• Family Care Centers Inc.

  dba Lehigh Valley Physician Group - Pocono

  • Internal Medicine Physician
  • E Stroudsburg, PA
  • NPI 1669563037

  Pediatrics

  Medicare reassignment NPD
• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment
• Valley Health Partners Community Health Center

  dba VHP - Lehigh Valley Physicians Practice

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
  • NPI 1932735651
  Medicare reassignment
• Family Care Centers Inc

  dba LVPG ExpressCare Pocono

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1316409626
  NPD
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650

  Pediatrics

  NPD
• Lehigh Valley Physician Group

  dba LVPG Internal Medicine - Weatherly

  • Internal Medicine Physician
  • Weatherly, PA
  • NPI 1790540649
  NPD
• Valley Health Partners Community Health Center

  dba VHP- Center for Women's Medicine

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
  • NPI 1770118648
  NPD
• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  NPD (past)
• Mercy Med Care Inc.

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1649310962
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1164481891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 BRIDLE RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609197",
            "telephone_number": "570-793-3254",
            "fax_number": "866-471-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 108",
            "city": "E STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-476-3585",
            "fax_number": "570-421-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "SUSHIL",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD422414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009422450002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunil Panuvelil Joseph, MB.BS
• Karen A Livingood, MS MA
• Michael S Marcus, MD
• Kathi Jo McGoldrick, CRNA
• Meet Ur Baby 3D @ Madeline's Place, LLC
• Morning Star Therapy Services
• Niyah & Niyah Logistic Services
• PA Nice Homes LLC (Water Gap Wellness Center)
• John A Paglia, MD
• Edward Lee Patrick, PA-C

• Pediatrics Physician in E Stroudsburg, PA
• Providers in E Stroudsburg, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.