Individual provider Active NPI

Sathish Modugu, MD

  • Interventional Pain Medicine Physician
  • Hartsdale, NY
National Provider Identifier
1992705859
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
202468 Issued in NY
Practice address
280 N Central Ave
Suite 204
Hartsdale, NY 10530-1832
Phone
(914) 681-9750
Fax
(914) 681-9755
NPI assigned
Jul 21, 2005
Last updated
Apr 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 202468 NY Primary

Addresses

Primary practice location

280 N Central Ave
Suite 204
Hartsdale, NY 10530-1832

Mailing address

280 N Central Ave
Suite 204
Hartsdale, NY 10530-1832
Phone (914) 681-9750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040407000611 NY Practitioner - Physical Medicine and Rehabilitation 0749192862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sathish R. Modugu Medical PCGroup PAC ID 5092627307, 2 clinicians

Practice addresses (Care Compare)

280 N Central Ave
Suite 204
Hartsdale, NY 10530-1832

280 N Central Ave
Suite 204
Hartsdale, NY 10530-1837
Phone (914) 681-9750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.78 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202468NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain & Wellness, LLC Interventional Pain Medicine Current Accepting new patients
Sathish R. Modugu Medical PC CurrentSince Apr 13, 2001 Accepting new patients
Murray Hill Medical Group PC PastSince Jun 1, 1992 Accepting new patients
Steiger NP in Acute Care PLLC Past Accepting new patients
Docs Physicians Affiliated With Bimc Past Accepting new patients

Locations

280 N Central Ave
Ste 204
Hartsdale, NY 10530
Phone (914) 681-9750

220 N Central Ave
Hartsdale, NY 10530
Phone (914) 358-1233

695 Dutchess Tpke
Ste 204
Poughkeepsie, NY 12603
Phone (845) 221-2881

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: smodugu@ssaptc-ny.direct.office.nextgen.com

Organizations & group practices 5

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 1

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1992705859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301832",
            "telephone_number": "914-681-9750",
            "fax_number": "914-681-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301832",
            "telephone_number": "914-681-9750",
            "fax_number": "914-681-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODUGU",
        "first_name": "SATHISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "202468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.