Kartik Mody

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

45673 Issued in AZ

Practice address

300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476

Phone

(602) 277-4161

Fax

(602) 265-2011

NPI assigned

Oct 5, 2011

Last updated

Aug 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• NA NA Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kmody43405@direct.valleywisehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870
  NPD (past)
• Banner Health

  dba Banner Ocotillo Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004
  NPD (past)
• Neonatology Associates, LTD

  • Ph.D. Medical Genetics
  • Phoenix, AZ
  • NPI 1275569501

  Pediatrics

  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  dba Phoenix Perinatal Associates

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1407957152
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1770867061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 E PRESIDIO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224946",
            "telephone_number": "848-467-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133476",
            "telephone_number": "602-277-4161",
            "fax_number": "602-265-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "KARTIK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AZ",
            "license": "45673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Modest Dentistry LLC
• Amanda Modesta Keyhani, MD
• Bhavan Modi, MD
• Sagar Modi, MD
• Cynthia Jean Modny, M.D.
• Mital Abhijeet Mody
• Carlos Moe, DO
• Danette Moe, DPT
• Elizabeth Moe
• Tabitha Grace Moe, M.D.

• Neonatal-Perinatal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neonatal-Perinatal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.