Jaymin J Modi, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

254129 Issued in NC

Practice address

170 Manning Drive
Chapel Hill, NC 27599

Phone

(919) 966-6440

NPI assigned

Jun 14, 2018

Sex

Male

Sole proprietor

No

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 NC

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

Specialty

Emergency Medicine

Education

Philadelphia College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Emergency Medicine Associates IncGroup PAC ID 9537067343, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

85.58

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

87.33

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

97.4 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

83.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmodi104697@capefearvalley.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Raleigh Emergency Medicine Associates Inc

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1790736973
  Medicare reassignment Care Compare group NPD
• Kinston Physicians Group, PLLC

  • Emergency Medicine Physician
  • Kinston, NC
  • NPI 1689923757
  Medicare reassignment NPD
• Robeson Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1801375373
  Medicare reassignment NPD
• Sandhills Emergency Physicians PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Pinehurst, NC
  • NPI 1003853409
  Medicare reassignment NPD
• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836
  Medicare reassignment NPD

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

• Rex Hospital Inc.

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088
  Care Compare affiliation

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1700379690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MANNING DRIVE UNC DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997594",
            "telephone_number": "919-966-6440",
            "fax_number": "919-966-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27599",
            "telephone_number": "919-966-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021121",
            "country_code": "US",
            "telephone_number": "215-762-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Manning Drive",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "27599",
            "country_code": "US",
            "telephone_number": "919-966-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODI",
        "first_name": "JAYMIN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "254129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle F Mobley
• Jason Robert Mock, M.D., PH.D.
• Nadeem Y Modan, M.D.
• Modern Ritual Health PC
• Modern Ritual Health PC
• Priya Mody, M.D.
• Michelle Anne Moffa, MD
• Mubarik Bashir Mohamed, MD
• Ibrahim Alhaji Mohammed, MD
• Pankhuri Mohan

• Emergency Medicine Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.