ASHESH I MODI (M.D.) – Specialist, NPI 1174674816
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
58 GASTROENTEROLOGY in DE
Provider Addresses for ASHESH I MODI (M.D.)
4745 OGLETOWN STANTON RD
MAP #1
NEWARK, DE 197132067
Phone: (302) 738-5300
Fax: (302) 731-4822
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,215.
Total Amount is formed as General ($1,215) + Research ($0) + Ownership ($0) = $1,215.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($308).
Total Amount
$1,215
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100916000005 | I | Gastroenterology | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 148 | 146 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 142 | 140 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 91 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 94 | 94 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 92 | 92 | $0 |
Insurance plans in this area (ZIP 19713)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | DE | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 14 | 13 |
| GASTROENTEROLOGY | DE | 45378 | Diagnostic examination of large bowel using an endoscope | 81 | 80 |
| GASTROENTEROLOGY | DE | 45385 | Removal of polyps or growths of large bowel using an endoscope | 66 | 63 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
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