Individual provider Active NPI

Vaishali Mody, MD

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1699773242
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301075960 Issued in MI
Practice address
31700 Van Dyke Ave
Warren, MI 48093-7949
Phone
(586) 276-8200
Fax
(586) 276-8181
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075960 MI Primary

Addresses

Primary practice location

31700 Van Dyke Ave
Warren, MI 48093-7949

Mailing address

31700 Van Dyke Ave
Warren, MI 48093-7949
Phone (586) 276-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050112001050 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9032168471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

15959 Hall Rd
Suite 104
Macomb, MI 48044-5364
Phone (586) 884-2688

18930 W Rd
Beaumont Urgent Care of Michigan
Woodhaven, MI 48183-3317
Phone (734) 671-4900

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

28284 Dequindre Rd
Warren, MI 48092-5604
Phone (586) 413-7069

309 E 11 Mile Rd
Beaumont Urgent Care of Michigan
Royal Oak, MI 48067-2735
Phone (248) 965-8806

3200 Walton Blvd
Rochester Hills, MI 48309-1200
Phone (248) 809-5224

43037 Dequindre Rd
Troy, MI 48085-1101
Phone (248) 817-8682

43535 Grand River Ave
Novi, MI 48375-1108
Phone (248) 946-4500

50958 Gratiot Ave
Chesterfield, MI 48051-3134
Phone (586) 265-2262

56293 Van Dyke Ave
Shelby Township, MI 48316-5019
Phone (586) 932-4539

845 S Lapeer Rd
Lake Orion, MI 48362-2925
Phone (248) 469-0011

9870 Telegraph Rd
Taylor, MI 48180-3399
Phone (313) 291-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075960MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet Urgent Care of Michigan CurrentSince Oct 9, 2019 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Riverbend Health Care PC Internal Medicine PastSince Apr 1, 2001 Accepting new patients

Locations

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

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 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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1699773242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-276-8200",
            "fax_number": "586-276-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-276-8200",
            "fax_number": "586-276-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "VAISHALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.