Puja Mody, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004721 Issued in MD

Practice address

900 S Caton Ave
Baltimore, MD 21229-5201

Phone

(410) 368-6000

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

70.94

Improvement activities

40

Cost

92.94

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1821434002
  Medicare reassignment NPD
• Caton Emergency Physicians

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1003829953

  Physician Assistant

  NPD (past)
• Champion Emergency Physicians LLC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1649533357
  NPD (past)
• Maryland Provo-I Medical Services, PC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1013002096

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1871868646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241349",
            "telephone_number": "540-529-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "PUJA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003756",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amirali Modir Shanechi, M.D.
• Troy G Modisette, PMHNP
• Chelsea Elizabeth Modlin, M.D.
• Tracy Modlin
• Modviva Health
• Nina Roshanshad Moeinzadeh
• Angela Moeller, RN
• Ditte C Moeller, LCSW-C
• Shaun Christopher Moeller, MD
• Justin Moffitt

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.