Active NPI
Farhad Modarai, D.O.
- Family Medicine Physician
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 295461
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036161281 | IL | MD | Family Medicine Physician |
| 295461 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Connections of Illinois, P.C. | Current | Accepting new patients | |
| Wisconsin Kidney Care, S.C. | Current | Accepting new patients | |
| North Carolina Kidney Care, PC | Current | Accepting new patients | |
| Integrated Patient Solutions of Iowa, P.C. | Current | Accepting new patients | |
| Care Solutions of NC, PC | Current | Accepting new patients | |
| Gather Health Primary Care of Massachusetts PC | Family Medicine | Current | Accepting new patients |
| Integrated Patient Solutions of Illinois, P.C. | Current | Accepting new patients | |
| Strive Health TX, LLC | Current | Accepting new patients | |
| Strive Medical Vbe of Illinois, P.C. | Current | Accepting new patients | |
| Strive Health Ky 2, LLC | Current | Accepting new patients | |
| Carelon Medical Partners of Arizona, P.C. | Family Medicine | Past | Accepting new patients |
| Strive Health PA, LLC | Past | 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
- 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.
-
- Family Medicine Physician
- Quincy, MA
- NPI 1255051850
-
- Nephrology Physician
- Denver, CO
- NPI 1942073606
PA
-
- Clinic/Center
- Providence, RI
- NPI 1215700976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.