Individual provider Active NPI

Naresh V Mody, M.D.

  • Cardiovascular Disease Physician
  • Titusville, FL
National Provider Identifier
1669475646
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
62797 Issued in FL
Practice address
605 N Washington Ave Ste 100
Titusville, FL 32796-2152
Phone
(321) 383-7600
Fax
(321) 383-8111
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 62797 FL Primary

Addresses

Primary practice location

605 N Washington Ave Ste 100
Titusville, FL 32796-2152

Mailing address

605 N Washington Ave Ste 100
Titusville, FL 32796-2152
Phone (321) 383-7600

Other identifiers 1

IdentifierTypeStateIssuer
060033063OtherRAILROAD MC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040427001313 FL Practitioner - Cardiovascular Disease (Cardiology) 3678560174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cardiovascular Association PAGroup PAC ID 7012904527, 2 clinicians

Practice addresses (Care Compare)

605 N Washington Ave
Suite 100
Titusville, FL 32796-2152
Phone (321) 383-7600

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62797FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiovascular Association PA Cardiovascular Disease CurrentSince Dec 16, 2004 Accepting new patients
Sachin R. Shenoy MD PA PastSince Nov 1, 2005 Accepting new patients

Locations

605 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 228-9822

1845 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 264-2011

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1669475646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N WASHINGTON AVE STE 100",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962152",
            "telephone_number": "321-383-7600",
            "fax_number": "321-383-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N WASHINGTON AVE STE 100",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962152",
            "telephone_number": "321-383-7600",
            "fax_number": "321-383-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "NARESH",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "62797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "060033063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.