NPIMap

Individual provider Active NPI

Falgun M. Modhia, MD

  • Hematology & Oncology Physician
  • Springfield, MO
National Provider Identifier
1942470414
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2019011177 Issued in MO
Practice address
2055 S Fremont Ave Ste 1000
Springfield, MO 65804
Phone
(417) 820-8099
NPI assigned
Mar 11, 2008
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2019011177 MO Primary
Hematology & Oncology Physician 207RH0003X 29790 OK

Addresses

Primary practice location

2055 S Fremont Ave Ste 1000
Springfield, MO 65804

Mailing address

2055 S Fremont Ave Ste 1000
Springfield, MO 65804-2206
Phone (417) 820-8099

Other practice location 1

800 NE 10th St
Oklahoma City, OK 73104-5418
Phone (405) 271-4022

Other practice location 2

800 NE 10th St
Oklahoma City, OK 73104-5418
Phone (405) 271-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140401000267 OK Practitioner - Internal Medicine 7911082482 Reassigns benefits to 2 organizations
I20190613002989 MO Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7911082482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

2055 S Fremont Ave
1000 MC Cancer and Hematology
Springfield, MO 65804-2206
Phone (417) 820-8099

448 State Hwy 248
Suite 150
Branson, MO 65616-3725
Phone (417) 336-6713

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29790OKMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC CurrentSince Mar 1, 2014 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 16, 2019 Accepting new patients
Mercy Clinic Springfield Communities Hematology & Oncology CurrentSince Jul 16, 2019 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince May 28, 2014 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 16, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2055 S Fremont Ave
#1000
Springfield, MO 65804
Phone (417) 820-8099

2055 S Fremont Ave
Ste 1000
Springfield, MO 65804
Phone (417) 820-1347

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

Interoperability endpoints

  • Direct secure messaging: fmodhia484386@directc.mercy.net
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1942470414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S FREMONT AVE STE 1000",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042206",
            "telephone_number": "417-820-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S FREMONT AVE STE 1000",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-820-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 NE 10th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045418",
            "country_code": "US",
            "telephone_number": "405-271-4022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 NE 10th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045418",
            "country_code": "US",
            "telephone_number": "405-271-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODHIA",
        "first_name": "FALGUN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2019011177",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "29790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.