Active NPI
Barry Modlin, M.D.
- Otolaryngology Physician
- Rockville, MD
National Provider Identifier
1730338237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0006484
- Practice address
- 11123 Arroyo Dr
Rockville, MD 20852-3601 - Phone
- (301) 530-9644
- NPI assigned
- Sep 9, 2008
- Reactivated
- Apr 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0006484 | MD | Primary |
Addresses
Primary practice location
11123 Arroyo Dr
Rockville, MD 20852-3601
Mailing address
11123 Arroyo Dr
Rockville, MD 20852-3601
Phone (301) 530-9644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1730338237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11123 ARROYO DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523601",
"telephone_number": "301-530-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 ARROYO DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523601",
"telephone_number": "301-530-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODLIN",
"first_name": "BARRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2012-04-09",
"deactivation_date": "2010-02-09",
"reactivation_date": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0006484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.