Troy G Modisette, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R148972 Issued in MD

Practice address

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Phone

(410) 601-1000

NPI assigned

Oct 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
• Levindale Hebrew Geriatric Center and Hospital Hospital, Baltimore, MD, CCN 210064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment Care Compare group NPD
• Premier Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cockeysville, MD
  • NPI 1689281529
  NPD Authorized official
• Sinai Hospital of Baltimore Inc

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1235154865
  NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Levindale Hebrew Geriatric Center & Hospital Inc

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1598740821
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1487325874
  Care Compare affiliation

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1255974549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 VIRGINIA AVE",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302315",
            "telephone_number": "443-742-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODISETTE",
        "first_name": "TROY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-20",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R148972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "R148972",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cockeysville",
            "affiliation": "N",
            "address_1": "10601 Virginia Ave",
            "city": "Cockeysville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210302315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Modern Senior Care LLC
• Liam Modeste
• Jignya J Modi, MD
• Kulwant Singh Modi, MD,FACP,FASN
• Amirali Modir Shanechi, M.D.
• Chelsea Elizabeth Modlin, M.D.
• Tracy Modlin
• Modviva Health
• Puja Mody, PA-C
• Nina Roshanshad Moeinzadeh

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.

Verify at the official NPI Registry.