Active NPI
Sheela D Modin, M.D.
- Radiation Oncology Physician
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D0045119
- Practice address
- 2121 Medical Park Dr
Suite 4
Silver Spring, MD 20902-4054 - Phone
- (301) 681-4422
- Fax
- (301) 681-1684
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | D0045119 | MD | Primary |
Addresses
Primary practice location
2121 Medical Park Dr
Suite 4
Silver Spring, MD 20902-4054
Mailing address
PO Box 418837
Boston, MA 02241-8837
Phone (888) 846-5527
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8676971005 | Other | MD | CIGNA |
| 022600900 | Medicaid | MD | |
| 11931 | Other | MD | JOHNS HOPKINS HEALTHCARE |
| 270567 | Other | MD | MAMSI |
| 29020004 | Other | DC | CAREFIRST BC/BS |
| 3624169 | Other | MD | AETNA HMO |
| 60332702 | Other | MD | CAREFIRST BC/BS |
| 00002153455 02 | Other | MD | UNITED HEALTHCARE |
| 034402500 | Medicaid | DC | |
| 497790 | Other | MD | NATIONAL CAPITOL PPO |
| 1179916 | Other | MD | FIRST HEALTH/CCN |
| 52127 | Other | MD | AMERIGROUP |
| 7509331 | Other | MD | AETNA PPO/POS |
Other names 1
- Sheela Dharsani Puttaswamaiah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11006 Veirs Mill Rd
Suite L1
Wheaton, MD 20902-2587
Phone (301) 681-4422
2121 Medical Park Dr
Suite 4
Silver Spring, MD 20902-4085
Phone (888) 846-5527
Hospital & facility affiliations
- Holy Cross Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Radiation Medicine, PC | Radiation Oncology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
2121 Medical Park Dr
Ste 4
Silver Spring, MD 20902
Phone (301) 681-4422
11340 Pembrooke Sq
Ste 201
Waldorf, MD 20603
Phone (301) 705-5802
11006 Veirs Mill Rd
Wheaton, MD 20902
Phone (240) 489-6262
11006 Veirs Mill Rd
Ste L1
Wheaton, MD 20902
Phone (301) 681-4422
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 and National Provider Directory roles.
-
- Radiation Oncology Physician
- Bowie, MD
- NPI 1154351021
DC, MD, Radiation Oncology
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1477519403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418837",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418837",
"telephone_number": "888-846-5527",
"fax_number": "607-324-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MEDICAL PARK DR",
"address_2": "SUITE 4",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024054",
"telephone_number": "301-681-4422",
"fax_number": "301-681-1684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODIN",
"first_name": "SHEELA",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0045119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8676971005",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022600900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTHCARE",
"identifier": "11931",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "270567",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "29020004",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3624169",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "60332702",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "00002153455 02",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034402500",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CAPITOL PPO",
"identifier": "497790",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/CCN",
"identifier": "1179916",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "52127",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO/POS",
"identifier": "7509331",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHEELA",
"last_name": "PUTTASWAMAIAH",
"middle_name": "DHARSANI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.