Individual provider Active NPI

Danesh S Modi, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • East Norriton, PA
National Provider Identifier
1629237417
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
OS015569 Issued in PA
Practice address
609 W. Germantown Pike
Medical Arts Building Suite 120
East Norriton, PA 19403
Phone
(610) 279-1370
Fax
(610) 279-1372
NPI assigned
Jun 5, 2008
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X OS015569 PA Primary

Addresses

Primary practice location

609 W. Germantown Pike
Medical Arts Building Suite 120
East Norriton, PA 19403

Mailing address

207 N Broad St
FL 3
Philadelphia, PA 19107-1500
Phone (610) 279-1370

Other practice location 1

676 Dekalb Pike Ste 106
Blue Bell, PA 19422-1223
Phone (610) 279-7696

Other practice location 2

100 Market St Ste 400
Collegeville, PA 19426-4927
Phone (610) 831-0300

Other identifiers 1

IdentifierTypeStateIssuer
103123660MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150220000501 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406171115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Rowan University School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians

Practice addresses (Care Compare)

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

510 Township Line Rd
Suite 140
Blue Bell, PA 19422-2721
Phone (610) 279-7696

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
77.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Jul 25, 2016 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Cardiology Consultants of Philadelphia, P.C. CurrentSince Jan 1, 2018 Accepting new patients
Tower Health Medical Group CurrentSince Jul 25, 2016 Accepting new patients

Locations

510 Township Line Rd
Ste 140
Blue Bell, PA 19422
Phone (610) 279-7696

676 DeKalb Pike
Rm 106
Blue Bell, PA 19422
Phone (610) 279-7696

100 Market St
Ste 400
Collegeville, PA 19426
Phone (610) 831-0300

609 W Germantown Pike
Ste 120
Norristown, PA 19403
Phone (610) 279-1370

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1629237417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST",
            "address_2": "FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "610-279-1370",
            "fax_number": "610-279-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W. GERMANTOWN PIKE",
            "address_2": "MEDICAL ARTS BUILDING SUITE 120",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-279-1370",
            "fax_number": "610-279-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 Dekalb Pike Ste 106",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194221223",
            "country_code": "US",
            "telephone_number": "610-279-7696",
            "fax_number": "610-279-7782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Market St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194264927",
            "country_code": "US",
            "telephone_number": "610-831-0300",
            "fax_number": "610-831-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODI",
        "first_name": "DANESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "OS015569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103123660",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.