Individual provider Active NPI

Nehal Modha, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Mill, SC
National Provider Identifier
1508495714
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692162 Issued in TX
Practice address
1000 Wellness Way
Fort Mill, SC 29715-7315
Phone
(704) 910-8380
Fax
(704) 710-8045
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 692162 TX Primary

Addresses

Primary practice location

1000 Wellness Way
Fort Mill, SC 29715-7315

Mailing address

13430 Hoover Creek Blvd Ste 200
Charlotte, NC 28273-0054
Phone (704) 910-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241002002625 TX Practitioner - Podiatry 6800327784 Reassigns benefits to 1 organization
I20260417002252 SC Practitioner - Podiatry 6800327784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10010 Venfort Hall Dr
Charlotte, NC 28273

14800 Walsingham Rd Apt
Suite 1205
Largo, FL 33774-3313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue69
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
692162TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard W. Swails, DPM, PC Foot & Ankle Surgery CurrentSince Sep 23, 2024 Accepting new patients
South Charlotte General and Vascular Surgery PLLC PastSince Feb 20, 2017 Accepting new patients

Locations

5337 W University Dr
#100
McKinney, TX 75071
Phone (972) 542-3668

Interoperability endpoints

  • Direct secure messaging: nmodha@mckinneyfc.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1508495714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 HOOVER CREEK BLVD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730054",
            "telephone_number": "704-910-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLNESS WAY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157315",
            "telephone_number": "704-910-8380",
            "fax_number": "704-710-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODHA",
        "first_name": "NEHAL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.