Michael Terrance Modic, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

38224 Issued in TN

Practice address

3601 The Vanderbilt Clinic
Nashville, TN 37232

Phone

(615) 322-3000

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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 5

Medicare fee-for-service enrollment

Enrolled in OH, TN, CT3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians

Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians

Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Vanderbilt Imaging Services LLCGroup PAC ID 2163417882, 119 clinicians

Williamson Imaging LLCGroup PAC ID 3375447139, 115 clinicians

One Hundred Oaks Imaging LLCGroup PAC ID 1355490756, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
• Hartford Hospital Hospital, Hartford, CT, CCN 070025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: mmodic413985@direct.vumc.org
• FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

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.

• One Hundred Oaks Imaging, LLC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1245485549
  Medicare reassignment Care Compare group NPD
• Vanderbilt Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1144241985
  Medicare reassignment Care Compare group NPD
• Vanderbilt University Medical Center

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Williamson Imaging, LLC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1578581294
  Medicare reassignment Care Compare group NPD
• Connecticut Imaging Partners, LLC

  • Diagnostic Radiology Physician
  • Wethersfield, CT
  • NPI 1740315761

  TN

  Medicare reassignment Care Compare group NPD
• Farmington Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Farmington, CT
  • NPI 1275987802

  TN

  Medicare reassignment Care Compare group NPD
• Cleveland Clinic Nevada

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1538302377

  Diagnostic Radiology, OH

  Medicare reassignment NPD
• Jefferson Radiology, PC

  • Diagnostic Radiology Physician
  • Hartford, CT
  • NPI 1396795951

  TN

  Medicare reassignment NPD
• Tic, LLC

  • Diagnostic Radiology Physician
  • Tolland, CT
  • NPI 1457702813

  TN

  Medicare reassignment NPD
• Wooster Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Wooster, OH
  • NPI 1033135009
  Medicare reassignment NPD
• CCF New York Medical Services, PC

  • Radiologic Technologist
  • Cleveland, OH
  • NPI 1043484769
  NPD (past)
• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  NPD (past)

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

• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1285698290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37232",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 22nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031840",
            "country_code": "US",
            "telephone_number": "615-327-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Thompson Ln Ste 23300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372044686",
            "country_code": "US",
            "telephone_number": "615-936-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Acklen Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123713",
            "country_code": "US",
            "telephone_number": "615-777-9729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 Mallory Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672872",
            "country_code": "US",
            "telephone_number": "615-771-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Harding Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052145",
            "country_code": "US",
            "telephone_number": "615-463-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODIC",
        "first_name": "MICHAEL",
        "middle_name": "TERRANCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "38224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413896",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmodic413985@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmodic413985@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "One Hundred Oaks Imaging,LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "719 Thompson Ln Ste 23300",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372044686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmodic413985@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "4525 Harding Pike Ste 102",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372052145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmodic413985@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1909 Acklen Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372123713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmodic413985@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Williamson Imaging, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "2009 Mallory Ln Ste 150",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370672872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bret Christopher Mobley, MD., M.S.
• Crystal Diane Mock, PMHNP
• Kristin Mock
• Rachel Modahl, RN
• Modern Healing Collective PLLC
• Kayvon Modjarrad, M.D., PH.D.
• Caylin Cervetti Moen
• Kenneth P Moffat, M.D.
• Soroush Moghaddam
• Nazanin Moghbeli, MD

• Diagnostic Radiology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.