Manoj V Mody, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33750 Issued in WI

Practice address

12093 W Morgan Oak Dr
Greenfield, WI 53228-1035

Phone

(414) 321-8662

Fax

(414) 306-7002

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

State licenses

Practice roles

Locations

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.

• Ascension Medical Group-Southeast Wisconsin Inc

  dba Ascension Medical Group

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment NPD
• Midwest Medical Services LLC

  • Internal Medicine Physician
  • Greenfield, WI
  • NPI 1275807869
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1639257140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12093 W MORGAN OAK DR",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281035",
            "telephone_number": "414-321-8662",
            "fax_number": "414-306-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12093 W MORGAN OAK DR",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281035",
            "telephone_number": "414-321-8662",
            "fax_number": "414-306-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "MANOJ",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "33750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Miner
• Maxine J Minto, M.D.
• Marsela Mitre
• Sydney R Mittnacht, NP
• Julia Marie Mlinar, COTA/L
• Neil Arthur Moecker, M.D.
• Anoop Mohamed Iqbal, M.D
• Vicki Lynn Mohorich-Flanders, LCSW
• Nubia Esperanza Moieno Silva
• Joseph Molenda, B.S.

• Internal Medicine Physician in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.