Individual provider Active NPI

Sachin Modi, M.D.

  • Family Medicine Physician
  • Westport, CT
National Provider Identifier
1699189670
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56033 Issued in CT
Practice address
830 Post Rd E
Westport, CT 06880-5222
Phone
(203) 291-3800
Fax
(203) 291-3810
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A147202 CA
Family Medicine Physician 207Q00000X 56033 CT Primary

Addresses

Primary practice location

830 Post Rd E
Westport, CT 06880-5222

Mailing address

2 Peaceful LN
Norwalk, CT 06851-3404
Phone (203) 939-7129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20171220000646 CT Practitioner - Family Practice 1355667544 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincents Urgent Care LLCGroup PAC ID 6901119767, 43 clinicians
Emergency Medicine Physicians of Fairfield County LLCGroup PAC ID 9335051432, 36 clinicians

Practice addresses (Care Compare)

1055 Post Rd
Fairfield, CT 06824-6019
Phone (203) 259-3440

32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 276-4925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
83.45
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147202CAMDFamily Medicine Physician
56033CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Fairfield County, LLC CurrentSince Apr 24, 2019 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Oct 18, 2017 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Oct 18, 2017 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Jan 10, 2018 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Jan 10, 2018 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Oct 18, 2017 Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC CurrentSince Jul 1, 2019 Accepting new patients
Yakima Neighborhood Health Services PastSince Oct 18, 2017 Accepting new patients
Stamford Health Medical Group Inc Family Medicine PastSince Feb 12, 2018 Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

74 Newtown Rd
Danbury, CT 06810
Phone (203) 826-8434

76 Newtown Rd
Ste C
Danbury, CT 06810
Phone (203) 826-8434

1055 Post Rd
Fairfield, CT 06824
Phone (203) 254-1055

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

179 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 986-7600

Interoperability endpoints

  • Direct secure messaging: sachin.modi@xdr.hhchealthdirect.org
  • Direct secure messaging: smodi24288@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 9

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 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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1699189670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PEACEFUL LN",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513404",
            "telephone_number": "203-939-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805222",
            "telephone_number": "203-291-3800",
            "fax_number": "203-291-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "SACHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A147202",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "56033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.