DR. SANJIV S MODI (MD) – Hematology & Oncology Physician, NPI 1396730909

DR. SANJIV S MODI (MD) is a healthcare provider. based in Joliet, Illinois. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036093810 (IL). The NPI Number for DR. SANJIV S MODI (MD) is 1396730909

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANJIV S MODI (MD)
NPI
1396730909
Phone
(815) 725-1355
Address
2614 W JEFFERSON ST
Enumeration Date
20 September 2005
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9283442000
Graduation Year
1991 (35 years ago)
PAC ID
3274502570
Group Practice PAC ID
2062314826
Professional Enrollment ID
I20251023003600
Address ID
AZ853647127YU2400XAXXX400

Contacts

Secure Messaging
smodi220109@dulyhealthandcare.direct-ci.com
SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:20State licenses:3Other names

727 HEMATOLOGY/ONCOLOGY in IL

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Provider Addresses for DR. SANJIV S MODI (MD)

  • 2614, West Jefferson Street, Joliet, Troy Township, Will County, Illinois, 60435, United States

    JOLIET, IL 604356433

    Phone: (815) 725-1355

    Fax: (815) 725-9857

    Type: Mailing

  • 2614 W Jefferson St

    Joliet, IL 604356433

    Phone: (815) 725-1355

    Fax: (815) 725-9857

    Type: Location

  • 2375 S Ridgeview Dr

    Yuma, AZ 853648868

    Phone: (928) 317-2518

    Fax: (928) 317-1811

    Type: Location

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

  • 8955 W 400 N

    MICHIGAN CITY, IN 463609330

    Phone: (219) 861-5800

    Fax: (219) 861-5543

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone: (630) 469-9200

    Type: Mailing

  • 1600 WEST US 6

    MORRIS, IL 60450

    Phone: (815) 942-2791

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $509.

Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.

Last reported payment date: 2023-04-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($66).

Total Amount

$509

General + Research + Ownership

Payments

23

Total payment records

General Amount

$509

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-23

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
I20041001000763IHematology/OncologyILTBD
I20240801002419IHematology/OncologyINTBD
I20251023003600IHematology/OncologyAZTBD

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
Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units1,88017$0
J0897Injection, denosumab, 1 mg1,26020$0
J1100Injection, dexamethasone sodium phosphate, 1 mg84215$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count326162$0
80053Blood test, comprehensive group of blood chemicals278157$0
View full utilization report →

Insurance plans in this area (ZIP 60435)

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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: 2062314826View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists)WI
Internal MedicineAZ
O B S T E T R I C S/ G Y N E C O L O G YAZ
-AZ
General SurgeryAZ
Vascular SurgeryCO
O B S T E T R I C S/ G Y N E C O L O G YAZ
Certified Nurse Midwife (Cnm)AZ
Cardiac Surgery, Thoracic SurgeryAZ
Cardiovascular Disease (Cardiology)AZ

Reviews

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Frequently asked questions

How do I look up DR. SANJIV S MODI (MD) by NPI?
Use NPI 1396730909 when you need to reference DR. SANJIV S MODI (MD) in forms, claims, or directories.
Does this profile mean DR. SANJIV S MODI (MD) is currently active?
Yes — DR. SANJIV S MODI (MD) appears active in the national provider directory.
What kind of provider is DR. SANJIV S MODI (MD)?
The page reflects Hematology & Oncology Physician for DR. SANJIV S MODI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SANJIV S MODI (MD)?
The page summarizes Joliet, Illinois for DR. SANJIV S MODI (MD); expand the address list for detail.
How can I contact DR. SANJIV S MODI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.