Active NPI
Hrishabh Modi, MD
- Hospitalist Physician
- Ypsilanti, MI
National Provider Identifier
1619219128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 27172
- Practice address
- 5333 McAuley Dr
Suite 4001
Ypsilanti, MI 48197-1014 - Phone
- (734) 712-3980
- NPI assigned
- Mar 22, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01080157 | IN | |
| Hospitalist Physician | 208M00000X | 321682 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 27172 | WV | Primary |
Addresses
Primary practice location
5333 McAuley Dr
Suite 4001
Ypsilanti, MI 48197-1014
Mailing address
46860 Wareham
Canton, MI 48187-4673
Other practice location 1
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hmodi127520@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | hmodi5266705@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118001726 | LA | Practitioner - Hospitalist | 1951691716 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01080157 | IN | MD | Internal Medicine Physician |
| 27172 | WV | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Om Care LLC | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Past | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- hmodi127520@direct.parkviewexchange.com
Organizations & group practices 4
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.
-
- In Home Supportive Care Agency
- Canton, MI
- NPI 1427920560
-
- Substance Abuse Rehabilitation Facility
- South Point, OH
- NPI 1750776068
-
- Rehabilitation Hospital Unit
- Monroe, LA
- NPI 1013906239
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1619219128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46860 WAREHAM",
"city": "CANTON",
"state": "MI",
"postal_code": "481874673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "SUITE 4001",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-3980"
}
],
"practiceLocations": [
{
"address_1": "309 Jackson St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712017407",
"country_code": "US",
"telephone_number": "318-966-4541",
"fax_number": "318-966-4543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODI",
"first_name": "HRISHABH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-22",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01080157",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "321682",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "27172",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hmodi127520@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11109 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11109 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11109 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hmodi5266705@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "hmodi5266705@direct.casso.us.com",
"address_1": "309 Jackson St",
"city": "Monroe",
"state": "LA",
"country_code": "US",
"postal_code": "712017407",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "309 Jackson St",
"city": "Monroe",
"state": "LA",
"country_code": "US",
"postal_code": "712017407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.