Active NPI
Mihir Govind Modi, DO
- Family Medicine Physician
- Dallastown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS011244
- Practice address
- 755 S Pleasant Ave
Dallastown, PA 17313-9252 - Phone
- (717) 851-1300
- Fax
- (717) 851-1310
- NPI assigned
- Jul 7, 2006
- Last updated
- Feb 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS011244 | PA | Primary |
| Family Medicine Physician | 207Q00000X | 34007081 | OH |
Addresses
Primary practice location
755 S Pleasant Ave
Dallastown, PA 17313-9252
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1300
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P002839 | Other | PA | GATEWAY-WMG |
| 120188 | Other | PA | UNISON-WMG |
| 12463 | Other | PA | JOHNS HOPKINS |
| 1310724 | Other | PA | HIGHMARK BLUE SHIELD |
| 7336508 | Other | PA | AETNA |
| 0194610000 | Other | PA | AMERIHEALTH 65 PA |
| 20005318 | Other | PA | AMERIHEALTH MERCY-WMG |
| 294503 | Other | PA | MAMSI-WMG |
| 01069203 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 100461 | Other | PA | GEISINGER |
| 001859623 | Medicaid | PA | |
| 611872 | Other | MD | CAREFIRST MD BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
755 S Pleasant Ave
Dallastown, PA 17313-9252
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007081 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
755 S Pleasant Ave
Dallastown, PA 17313
Phone (717) 851-1300
1600 S George St
York, PA 17403
Phone (717) 848-3615
1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- mmodi13777@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba Wellspan Family Medicine - East Berlin
- Family Medicine Physician
- East Berlin, PA
- NPI 1649348525
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- York, PA
- NPI 1093109266
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1861424772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-1300",
"fax_number": "717-851-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S PLEASANT AVE",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173139252",
"telephone_number": "717-851-1300",
"fax_number": "717-851-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "MIHIR",
"middle_name": "GOVIND",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS011244",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34007081",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P002839",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "120188",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "12463",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1310724",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7336508",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA",
"identifier": "0194610000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20005318",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "294503",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "01069203",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "100461",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001859623",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "611872",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallastown, PA
- Manor Care of Dallastown PA, LLC (ProMedica Skilled Nursing and Rehabilitation (Dallastown))
- Rick F. Martin, D.P.M.
- Barbara Helen McNeal, PHARM.D.
- MD in Your Home, P.C.
- Stephanie Merrifield, RDH
- Kristen Anne Murphy, CRNP
- Rebecca J Myers, PA-C
- Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr.)
- Sarah Katharine Nahf
- David Lawrence Neuburger, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.