NPIMap

Individual provider Active NPI

Jignesh Modi, M.D.

  • Infectious Disease Physician
  • Decatur, IL
National Provider Identifier
1184935074
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.125721 Issued in IL
Practice address
1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone
(217) 329-1000
Fax
(217) 545-0825
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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 036.125721 IL
Hospitalist Physician 208M00000X 036.125721 IL
Infectious Disease Physician 207RI0200X 036.125721 IL Primary

Addresses

Primary practice location

1730 E Lake Shore Dr
Decatur, IL 62521-3809

Mailing address

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone (217) 329-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmodi104207@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000338 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1153587878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1512 N Green Mount Rd
Suite 108
Ofallon, IL 62269-1953
Phone (618) 624-5510

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone (217) 329-1000

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

1900 E Lake Shore Dr
Suite 330
Decatur, IL 62521-3848
Phone (217) 423-2889

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 641-5803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.125721ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Aug 7, 2025 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order Current Accepting new patients
HSHS Medical Group Inc CurrentSince Jun 1, 2012 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Aug 7, 2025 Accepting new patients
HSHS Medical Group Inc CurrentSince Jun 1, 2012 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1770 E Lake Shore Dr
Ste 300
Decatur, IL 62521
Phone (217) 422-0458

1730 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 329-1000

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

3 Saint Elizabeth Blvd
Shiloh, IL 62269
Phone (618) 233-6044

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

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 7

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1184935074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213809",
            "telephone_number": "217-329-1000",
            "fax_number": "217-545-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213809",
            "telephone_number": "217-329-1000",
            "fax_number": "217-545-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "JIGNESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.125721",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.125721",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.125721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmodi104207@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1730 E Lake Shore Dr",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625213809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.