Active NPI
Christopher W Modic, MD
- Diagnostic Radiology Physician
- Pittsburgh, PA
National Provider Identifier
1568456085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD014701E
- Practice address
- 1000 Bower Hill Rd
Pittsburgh, PA 15243-1873 - Phone
- (412) 835-6600
- Fax
- (412) 835-3456
- NPI assigned
- Sep 12, 2005
- Last updated
- Feb 14, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD014701E | PA | Primary |
Addresses
Primary practice location
1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Mailing address
1226 Stoltz Rd
Bethel Park, PA 15102-3616
Phone (412) 835-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009470510001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Hills Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| St Clair Hospital Upmc Cancer Center Petct | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1265426456
-
dba Integrated PET CT Services
- Radiology Clinic/Center
- Pittsburgh, PA
- NPI 1699708792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1568456085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 STOLTZ RD",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151023616",
"telephone_number": "412-835-6600",
"fax_number": "412-835-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BOWER HILL RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431873",
"telephone_number": "412-835-6600",
"fax_number": "412-835-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODIC",
"first_name": "CHRISTOPHER",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD014701E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009470510001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.