Individual provider Active NPI

Farhad Modarai, D.O.

  • Family Medicine Physician
  • Quincy, MA
National Provider Identifier
1497098610
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
295461 Issued in MA
Practice address
744 E Squantum St
Quincy, MA 02171-1253
Phone
(617) 820-5968
Fax
(833) 471-5603
NPI assigned
Apr 5, 2013
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019-00008 NC
Family Medicine Physician 207Q00000X OS19085 FL
Family Medicine Physician 207Q00000X 036161281 IL
Family Medicine Physician 207Q00000X 3135 TN
Family Medicine Physician 207Q00000X 295461 MA Primary

Addresses

Primary practice location

744 E Squantum St
Quincy, MA 02171-1253

Mailing address

744 E Squantum St
Quincy, MA 02171-1253
Phone (617) 820-5968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN, IL, MA, NJ, RI, FL, AR, PA, IA, MS, SC, WI13 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 13

Enrollment IDStateProvider typePAC IDDetails
I20190424003088 NC Practitioner - Family Practice 8224310289 Reassigns benefits to 1 organization
I20190502000937 TN Practitioner - Family Practice 8224310289 Reassigns benefits to 1 organization
I20220921000199 IL Practitioner - Family Practice 8224310289 Reassigns benefits to 5 organizations
I20221207002598 MA Practitioner - Family Practice 8224310289 Reassigns benefits to 1 organization
I20230420002649 NJ Practitioner - Family Practice 8224310289
I20231216000108 RI Practitioner - Family Practice 8224310289 Reassigns benefits to 1 organization
I20240117002627 FL Practitioner - Family Practice 8224310289
I20240705000191 AR Practitioner - Family Practice 8224310289
I20240711000425 PA Practitioner - Family Practice 8224310289 Reassigns benefits to 2 organizations
I20240712001682 IA Practitioner - Family Practice 8224310289 Reassigns benefits to 1 organization
I20241024004250 MS Practitioner - Family Practice 8224310289 Reassigns benefits to 1 organization
I20241227000923 SC Practitioner - Family Practice 8224310289 Reassigns benefits to 1 organization
I20250819003873 WI Practitioner - Internal Medicine 8224310289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1125 17TH St
Suite 1000
Denver, CO 80202-2092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036161281ILMDFamily Medicine Physician
295461MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connections of Illinois, P.C. CurrentSince Jan 10, 2024 Accepting new patients
Wisconsin Kidney Care, S.C. CurrentSince May 31, 2025 Accepting new patients
North Carolina Kidney Care, PC CurrentSince Jan 15, 2021 Accepting new patients
Integrated Patient Solutions of Iowa, P.C. CurrentSince Jun 25, 2024 Accepting new patients
Care Solutions of NC, PC CurrentSince Nov 15, 2023 Accepting new patients
Gather Health Primary Care of Massachusetts PC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Integrated Patient Solutions of Illinois, P.C. CurrentSince Oct 16, 2023 Accepting new patients
Strive Health TX, LLC CurrentSince Oct 16, 2023 Accepting new patients
Strive Medical Vbe of Illinois, P.C. CurrentSince Jul 26, 2022 Accepting new patients
Strive Health Ky 2, LLC CurrentSince Oct 16, 2023 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Family Medicine PastSince Apr 1, 2019 Accepting new patients
Strive Health PA, LLC PastSince Jun 12, 2024 Accepting new patients

Locations

1125 17th St
Ste 1000
Denver, CO 80202
Phone (855) 962-4638

1600 Stout St
Ste 2000
Denver, CO 80202
Phone (720) 240-5760

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

8741 S Greenwood Ave
Ste 106
Chicago, IL 60619
Phone (773) 731-8460

8741 S Greenwood Ave
Ste 106108
Chicago, IL 60619
Phone (312) 818-2779

131 Dartmouth St
Fl 3
Boston, MA 02116
Phone (617) 535-3305

744 E Squantum St
Quincy, MA 02171
Phone (617) 820-5968

4208 Six Forks Rd
Ste 1000
Raleigh, NC 27609
Phone (919) 877-6800

5100 Poplar Ave
Memphis, TN 38137
Phone (901) 625-5408

5100 Poplar Ave
Fl 27
Memphis, TN 38137
Phone (205) 538-3076

2810 Crossroads Dr
Ste 4000
Madison, WI 53718
Phone (608) 747-7878

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26984/brand/1/csg/1/fhir/r4

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1497098610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E SQUANTUM ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021711253",
            "telephone_number": "617-820-5968",
            "fax_number": "833-471-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E SQUANTUM ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021711253",
            "telephone_number": "617-820-5968",
            "fax_number": "833-471-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODARAI",
        "first_name": "FARHAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-00008",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19085",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036161281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3135",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "295461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.