Active NPI
Shrey Modi, M.D.
- Colon & Rectal Surgery Physician
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- MD-51537
- Practice address
- 4500 Utica Ridge Rd # Surgery
Bettendorf, IA 52722-1626 - Phone
- (563) 742-5300
- NPI assigned
- Mar 28, 2017
- Last updated
- Jun 2, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | MD-51537 | IA | Primary |
| Colon & Rectal Surgery Physician | 208C00000X | 036.165921 | IL | |
| Colon & Rectal Surgery Physician | 208C00000X | 2026013958 | MO |
Addresses
Primary practice location
4500 Utica Ridge Rd # Surgery
Bettendorf, IA 52722-1626
Mailing address
4480 Utica Ridge Rd Ste 1124
Bettendorf, IA 52722-1644
Other practice location 1
3801 S National Ave Ste 130
Springfield, MO 65807-6162
Phone (417) 730-7160
Other practice location 2
1001 E Primrose St
Springfield, MO 65807-5155
Phone (417) 875-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Suite 1124
Bettendorf, IA 52722-1644
Phone (563) 742-5300
600 John Deere Rd
Suite 301
Moline, IL 61265-6812
Phone (309) 779-4850
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-51537 | IA | MD | Colon & Rectal Surgery Physician |
| 036.165921 | IL | MD | Colon & Rectal Surgery Physician |
| 2026013958 | MO | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 1124
Bettendorf, IA 52722
Phone (563) 742-5300
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
600 John Deere Rd
Ste 301
Moline, IL 61265
Phone (309) 779-4400
Interoperability endpoints
- smodi991195@direct.unitypoint.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1336671593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 UTICA RIDGE RD STE 1124",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 UTICA RIDGE RD # SURGERY",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221626",
"telephone_number": "563-742-5300"
}
],
"practiceLocations": [
{
"address_1": "3801 S National Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658076162",
"country_code": "US",
"telephone_number": "417-730-7160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 E Primrose St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658075155",
"country_code": "US",
"telephone_number": "417-875-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODI",
"first_name": "SHREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IA",
"license": "MD-51537",
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IL",
"license": "036.165921",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MO",
"license": "2026013958",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.