Individual provider Active NPI

Ronuk Mayank Modi, MD

  • Clinical Cardiac Electrophysiology Physician
  • Leesburg, VA
National Provider Identifier
1437640752
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101287795 Issued in VA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815001208 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6608125216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101287795VAMDClinical Cardiac Electrophysiology Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.