Individual provider Active NPI

Nitesh S Mody, DO

  • Critical Care Medicine (Anesthesiology) Physician
  • Napa, CA
National Provider Identifier
1952609828
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
036141920 Issued in IL
Practice address
623 Montecito Blvd
Napa, CA 94559-1515
Phone
(914) 771-7335
NPI assigned
Mar 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 036141920 IL Primary
Anesthesiology Physician 207L00000X 20A10702 CA

Addresses

Primary practice location

623 Montecito Blvd
Napa, CA 94559-1515

Mailing address

3325 Jefferson St # 1052
Napa, CA 94558-3437

Other practice location 1

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

Other practice location 2

1553 W Congress Parkway
Chicago, IL 60612
Phone (312) 942-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20110803000349 CA Practitioner - Anesthesiology 5991974230 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyons Huber Anesthesia, a Medical CorporationGroup PAC ID 2062511447, 4 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.53 of 100Reported as group
Quality
75.49
Improvement activities
40
Cost
73.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10702CAMDAnesthesiology Physician
10702CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Sep 1, 2015 Accepting new patients
Lyons Huber Anesthesia a Medical Corporation Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Lyons Huber Management Anesthesiology CurrentSince May 1, 2024 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2015 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jun 8, 2024 Accepting new patients
Ccmma Ca PC Critical Care Medicine CurrentSince Jul 14, 2022 Accepting new patients
Rush University Medical Center Past Accepting new patients
Ccmma NJ LLC Critical Care Medicine Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

3325 Jefferson St
Napa, CA 94558
Phone (313) 220-4870

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525

12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250

5500 Colleyville Blvd
Colleyville, TX 76034
Phone (214) 294-6350

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

3095 Kingswood Blvd
Ste 100
Grand Prairie, TX 75052
Phone (972) 854-0009

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

620 S Main St
Ste 100
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

25615 US Highway 281 N
Ste 100
San Antonio, TX 78258

7719 S Ih 35
San Antonio, TX 78224
Phone (210) 572-2955

10811 Town Center Dr
San Antonio, TX 78251
Phone (210) 572-0911

6491 Woodlake Pkwy
San Antonio, TX 78244
Phone (210) 622-8220

16977 Interstate 35 N
Ste 100
Schertz, TX 78154

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1952609828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 JEFFERSON ST # 1052",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MONTECITO BLVD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591515",
            "telephone_number": "914-771-7335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Woodland Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749554",
            "country_code": "US",
            "telephone_number": "707-963-3611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1553 W Congress Parkway",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-942-3138",
            "fax_number": "312-942-5773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODY",
        "first_name": "NITESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "IL",
            "license": "036141920",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A10702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.