Individual provider Active NPI

Sheela D Modin, M.D.

  • Radiation Oncology Physician
  • Silver Spring, MD
National Provider Identifier
1477519403
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0045119 Issued in MD
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

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8676971005OtherMDCIGNA
022600900MedicaidMD
11931OtherMDJOHNS HOPKINS HEALTHCARE
270567OtherMDMAMSI
29020004OtherDCCAREFIRST BC/BS
3624169OtherMDAETNA HMO
60332702OtherMDCAREFIRST BC/BS
00002153455 02OtherMDUNITED HEALTHCARE
034402500MedicaidDC
497790OtherMDNATIONAL CAPITOL PPO
1179916OtherMDFIRST HEALTH/CCN
52127OtherMDAMERIGROUP
7509331OtherMDAETNA PPO/POS

Other names 1

  • Sheela Dharsani Puttaswamaiah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110330000720 DC Practitioner - Radiation Oncology 5193811446 Reassigns benefits to 1 organization
I20110330000782 MD Practitioner - Radiation Oncology 5193811446 Reassigns benefits to 1 organization

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
Associates in Radiation Medicine, PCGroup PAC ID 6204826332, 12 clinicians

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 Hospital, Silver Spring, MD, CCN 210004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Radiation Medicine, PC Radiation Oncology CurrentSince Apr 1, 1998 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.

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

Verify at the official NPI Registry.