Individual provider Active NPI

Yashpal Bhanuprasad Modi, M.D.

  • Hematology & Oncology Physician
  • Glasgow, KY
National Provider Identifier
1164782991
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
47271 Issued in KY
Practice address
310 N L Rogers Wells Blvd
Suite 306
Glasgow, KY 42141-1300
Phone
(270) 659-5890
Fax
(270) 659-5698
NPI assigned
May 27, 2012
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47271 KY
Hematology & Oncology Physician 207RH0003X 47271 KY Primary
Medical Oncology Physician 207RX0202X 47271 KY

Addresses

Primary practice location

310 N L Rogers Wells Blvd
Suite 306
Glasgow, KY 42141-1300

Mailing address

310 N L Rogers Wells Blvd
Suite 306
Glasgow, KY 42141-1300
Phone (270) 659-5890

Other practice location 1

1000 Breckenridge St Ste 201
Owensboro, KY 42303-0876
Phone (270) 688-3445

Other practice location 2

912 Wallace Ave Ste 105
Leitchfield, KY 42754-2405
Phone (270) 259-9506

Other identifiers 1

IdentifierTypeStateIssuer
7100311690MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ymodi@tjrh.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20140814002617 KY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2264680651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Breckenridge St
Owensboro, KY 42303-0839
Phone (270) 683-2751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47271KYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
T J Samson Community Hospital CurrentSince Jan 23, 2017 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Owensboro Health Medical Group, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Western Baptist Medical Ventures, Inc. Past Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

310 N L Rogers Wells Blvd
Ste 306
Glasgow, KY 42141
Phone (270) 659-5890

912 Wallace Ave
Ste 105
Leitchfield, KY 42754
Phone (270) 230-0251

1000 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-2751

1000 Breckenridge St
Ste 201
Owensboro, KY 42303
Phone (270) 688-3445

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • Direct secure messaging: ymodi@tjrh.cernerdirect.com
  • Direct secure messaging: ymodi91417@direct.owensborohealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1338076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1164782991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "address_2": "SUITE 306",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5890",
            "fax_number": "270-659-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "address_2": "SUITE 306",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5890",
            "fax_number": "270-659-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Breckenridge St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423030876",
            "country_code": "US",
            "telephone_number": "270-688-3445",
            "fax_number": "270-688-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Wallace Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542405",
            "country_code": "US",
            "telephone_number": "270-259-9506",
            "fax_number": "270-259-1646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODI",
        "first_name": "YASHPAL",
        "middle_name": "BHANUPRASAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "47271",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "47271",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "47271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100311690",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ymodi@tjrh.cernerdirect.com",
            "affiliation": "N",
            "address_1": "310 N L Rogers Wells Blvd",
            "address_2": "Suite 306",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421411300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.