Jitendrakumar Rajnikant Modi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D64213 Issued in MD

Practice address

250 Wood Rd
NHCL Annapolis (Pediatrics)
Annapolis, MD 21402-1257

Phone

(410) 293-4414

Fax

(410) 293-3264

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jitu Rajni Modi Other name

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1629077847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WOOD RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214021257",
            "telephone_number": "410-293-2273",
            "fax_number": "410-293-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WOOD RD",
            "address_2": "NHCL ANNAPOLIS (PEDIATRICS)",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214021257",
            "telephone_number": "410-293-4414",
            "fax_number": "410-293-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "JITENDRAKUMAR",
        "middle_name": "RAJNIKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D64213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JITU",
            "last_name": "MODI",
            "middle_name": "RAJNI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Mitchell, PTGCS
• Victoria Ann Mitchell, MED, MPT
• Ilana Mittman
• MKM Home Care, LLC
• Modern Dermatology of Maryland, LLC
• Kim Modica
• Lyle Terrence Modlin, D.P.M.
• Milan Pankaj Mody, P.A.
• Jeannine Mogavero Theoret, M.D.
• Cyndra Renee Mogayzel, M.D.

• Pediatrics Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.

Verify at the official NPI Registry.