Active NPI
Milad Modarresi
- Internal Medicine Physician
- Jackson, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.144058
- Practice address
- 500 Burlington Rd
Jackson, OH 45640-9360 - Phone
- (740) 288-4625
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 35.144058 | OH | Primary |
Addresses
Primary practice location
500 Burlington Rd
Jackson, OH 45640-9360
Mailing address
1600 Medical Center Dr Ste 2000
Huntington, WV 25701-3656
Phone (304) 691-1282
Other practice location 1
1600 Medical Center Dr Ste 2000
Huntington, WV 25701-3656
Phone (304) 691-1282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500
Hospital & facility affiliations
- Southern Ohio Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 68.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.83 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 74.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.144058 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Ohio Inc | Internal Medicine | Current | Accepting new patients |
| Southern Ohio Medical Center | Past | Accepting new patients | |
| Holzer Hospital Foundation | Past | Accepting new patients |
Locations
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1477500999
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1205367000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR STE 2000",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013656",
"telephone_number": "304-691-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BURLINGTON RD",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409360",
"telephone_number": "740-288-4625"
}
],
"practiceLocations": [
{
"address_1": "1600 Medical Center Dr Ste 2000",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257013656",
"country_code": "US",
"telephone_number": "304-691-1282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODARRESI",
"first_name": "MILAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.144058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.