NPIMap

Individual provider Active NPI

Arvind Gopal Modak, M.D.

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1215975255
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1397 Issued in TX
Practice address
5536 Saratoga Blvd
Corpus Christi, TX 78413-2944
Phone
(361) 866-5505
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1397 TX Primary

Addresses

Primary practice location

5536 Saratoga Blvd
Corpus Christi, TX 78413-2944

Mailing address

PO Box 6994
Corpus Christi, TX 78466-6994
Phone (361) 866-5505

Other practice location 1

1315 Santa Fe St
Corpus Christi, TX 78404-2217
Phone (361) 866-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060712000149 TX Practitioner - Internal Medicine 3375556459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

5536 Saratoga Blvd
Corpus Christi, TX 78413-2944
Phone (361) 443-9013

Hospital & facility affiliations

  • Trio Home Health Care Inc Home health agency, Corpus Christi, TX, CCN 678428
  • Angel Bright Home Health Inc Home health agency, Corpus Christi, TX, CCN 679294
  • DCHC Home Health & Hospice Home health agency, Alice, TX, CCN 673199
  • Corpus Christi Healthcare at Home Home health agency, Corpus Christi, TX, CCN 679637
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
  • Corpus Christi Rehabilitation Hospital Inpatient rehabilitation facility, Corpus Christi, TX, CCN 673053
  • Pam Rehabilitation Hospital of Corpus Christi Inpatient rehabilitation facility, Corpus Christi, TX, CCN 673067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince May 8, 2017 Accepting new patients
Primary Care Partners PLLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Gulf Coast Physician Services, PLLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 8, 2017 Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Pam Squared at Corpus Christi, LLC Past Accepting new patients
Post Acute Medical Rehabilitation Hospital of Corpus Christi, LLC Past Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1315 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 208-0461

345 S Water St
Corpus Christi, TX 78401
Phone (361) 443-9013

345 S Water St
Fl 2
Corpus Christi, TX 78401
Phone (361) 244-0869

5536 Saratoga Blvd
Corpus Christi, TX 78413
Phone (361) 443-9013

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 10

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 8

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1215975255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6994",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666994",
            "telephone_number": "361-866-5505",
            "fax_number": "361-866-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132944",
            "telephone_number": "361-866-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Santa Fe St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042217",
            "country_code": "US",
            "telephone_number": "361-866-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODAK",
        "first_name": "ARVIND",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.