Individual provider Active NPI

Gunjan M Modi, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
National Provider Identifier
1356589204
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
N6931 Issued in TX
Practice address
6100 Windhaven Pkwy
Plano, TX 75093-8046
Phone
(972) 378-0620
Fax
(972) 378-0630
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X N6931 TX Primary

Addresses

Primary practice location

6100 Windhaven Pkwy
Plano, TX 75093-8046

Mailing address

6100 Windhaven Pkwy
Plano, TX 75093-8046
Phone (972) 378-0620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmodi@gunjanmodi.ezderm.info Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000227 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8022264704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6100 Windhaven Pkwy
Plano, TX 75093-8046
Phone (972) 378-0620

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision226
Removal of tissue1-10
Removal of skin lesions23
Removal of skin cancer1479
Removal of nail tissue1-10
Skin biopsy32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Lansing Parry MD PA Mohs-Micrographic Surgery Current Accepting new patients
Gunjan M. Modi, M.D., P.a. Mohs-Micrographic Surgery CurrentSince Jul 1, 2013 Accepting new patients
Michael J Wells Mdpa Mohs-Micrographic Surgery Current Accepting new patients

Locations

6100 Windhaven Pkwy
Plano, TX 75093
Phone (214) 615-1735

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.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1356589204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-378-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-378-0620",
            "fax_number": "972-378-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "GUNJAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "N6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmodi@gunjanmodi.ezderm.info",
            "affiliation": "N",
            "endpointDescription": "Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6100 Windhaven Pkwy",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750938046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.