Active NPI
Ronuk Mayank Modi, MD
- Clinical Cardiac Electrophysiology Physician
- Leesburg, VA
National Provider Identifier
1437640752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 0101287795
- Practice address
- 44035 Riverside Pkwy Ste 400
Leesburg, VA 20176-8260 - Phone
- (703) 858-5421
- Fax
- (703) 858-9573
- NPI assigned
- May 22, 2018
- Last updated
- Sep 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 0101287795 | VA | Primary |
Addresses
Primary practice location
44035 Riverside Pkwy Ste 400
Leesburg, VA 20176-8260
Mailing address
2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688
Other practice location 1
2901 Telestar Ct Ste 100
Falls Church, VA 22042-1261
Phone (703) 208-9797
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmodi1674171@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180815001208 | MA | Order and Referring Only - Internal Medicine | 6608125216 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101287795 | VA | MD | Clinical Cardiac Electrophysiology Physician |
Interoperability endpoints
- rmodi252256@direct.bilh.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1437640752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT STE 300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421263",
"telephone_number": "703-591-1688",
"fax_number": "703-591-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44035 RIVERSIDE PKWY STE 400",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768260",
"telephone_number": "703-858-5421",
"fax_number": "703-858-9573"
}
],
"practiceLocations": [
{
"address_1": "2901 Telestar Ct Ste 100",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220421261",
"country_code": "US",
"telephone_number": "703-208-9797",
"fax_number": "703-591-0829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODI",
"first_name": "RONUK",
"middle_name": "MAYANK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "VA",
"license": "0101287795",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmodi1674171@soc.inova.org",
"affiliation": "N",
"address_1": "44035 Riverside Pkwy Ste 400",
"city": "Leesburg",
"state": "VA",
"country_code": "US",
"postal_code": "201768260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.