KETANG MODI (D.O.) – Diagnostic Radiology Physician, NPI 1396736468

KETANG MODI (D.O.) is a healthcare provider. based in South miami, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. 25MB07370200 (NJ). The NPI Number for KETANG MODI (D.O.) is 1396736468

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KETANG MODI (D.O.)
NPI
1396736468
Phone
(833) 674-3668
Address
7520 SW 57th Ave Ste A
Enumeration Date
28 October 2005
Last Update Date
13 February 2024

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2016564324
Graduation Year
1996 (30 years ago)
PAC ID
1759287469
Group Practice PAC ID
5395901052
Professional Enrollment ID
I20031211000720
Address ID
NJ073061112JE191XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for KETANG MODI (D.O.)

  • 7520 SW 57th Ave Ste A

    South Miami, FL 331435330

    Phone: (833) 674-3668

    Type: Location

  • 23, Mountainview Court, Totowa, Passaic County, New Jersey, 07512, United States

    TOTOWA, NJ 07512

    Phone: (973) 595-7112

    Type: Mailing

  • 191 Palisade Ave

    Jersey City, NJ 073061112

    Phone: (201) 656-4324

    Type: Location

  • 3420 WASHINGTON LN

    HOLLYWOOD, FL 330264627

    Phone:

    Type: Mailing

  • 9620 STIRLING RD UNIT 111

    HOLLYWOOD, FL 330248081

    Phone: (754) 201-1027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031211000720IDiagnostic RadiologyNJTBD
I20130226000237IDiagnostic RadiologyFLTBD
I20210324000064IDiagnostic RadiologyPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
73030X-ray of shoulder, minimum of 2 views228118$0
73721Mri scan of leg joint without contrast225128$0
72148Mri scan of lower spinal canal without contrast215205$0
73564X-ray of knee, 4 or more views209110$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers201187$0
View full utilization report →

Insurance plans in this area (ZIP 33143)

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Provider's Procedures

KETANG MODI (D.O.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNJ73562X-ray of knee, 3 views1916
DIAGNOSTIC RADIOLOGYNJ74177CT scan of abdomen and pelvis with contrast1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395901052View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Nurse PractitionerNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
C H I R O P R A C T I CNJ
Diagnostic RadiologyNJ
Physical Medicine And RehabilitationNJ
Physical Therapist In Private PracticeCA
Physical Medicine And Rehabilitation, Family Practice, Geriatric Medicine, Interventional Pain Management, Interventional RadiologyNJ
-NJ

Reviews

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Frequently asked questions

Does KETANG MODI (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KETANG MODI (D.O.) uses 1396736468.
Can I rely on KETANG MODI (D.O.) being an active provider?
As of the registry snapshot, KETANG MODI (D.O.) is marked active.
What taxonomy line describes KETANG MODI (D.O.)?
For research purposes, treat KETANG MODI (D.O.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KETANG MODI (D.O.) based?
KETANG MODI (D.O.) is tied to South Miami, Florida in the data we show; additional addresses may exist on the full record.
Why does KETANG MODI (D.O.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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