DR. PRAVEEN KUMAR MODI (M.D) – Internal Medicine Physician, NPI 1144285669

DR. PRAVEEN KUMAR MODI (M.D) is a healthcare provider. based in Plymouth, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. PM069773 (MI). The NPI Number for DR. PRAVEEN KUMAR MODI (M.D) is 1144285669

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRAVEEN KUMAR MODI (M.D)
NPI
1144285669
Phone
(734) 414-1088
Address
990 W ANN ARBOR TRL
Enumeration Date
18 April 2006
Last Update Date
3 March 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
3577450592
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20040901001377
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. PRAVEEN KUMAR MODI (M.D)

  • 990, West Ann Arbor Trail, Plymouth, Wayne County, Michigan, 48170, United States

    SUITE 102

    PLYMOUTH, MI 481706204

    Phone: (734) 414-1088

    Fax: (734) 414-1095

    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 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-10-16 • Largest payer in this snapshot: Currax Pharmaceuticals LLC ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-09-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040901001377IInternal MedicineMITBD

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
J0897Injection, denosumab, 1 mg2,52025$0
36415Insertion of needle into vein for collection of blood sample736293$0
99214Established patient office or other outpatient visit, 30-39 minutes574271$0
99213Established patient office or other outpatient visit, 20-29 minutes502234$0
81002Urinalysis, manual test267182$0
View full utilization report →

Insurance plans in this area (ZIP 48170)

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Provider's Procedures

DR. PRAVEEN KUMAR MODI (M.D) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI82270Stool analysis for blood to screen for colon tumors5454

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: 9032020490View full group profile

Reviews

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Frequently asked questions

How is DR. PRAVEEN KUMAR MODI (M.D) identified in CMS data?
CMS-hosted NPPES data lists DR. PRAVEEN KUMAR MODI (M.D) with NPI 1144285669.
Does CMS list DR. PRAVEEN KUMAR MODI (M.D) as active?
Yes — DR. PRAVEEN KUMAR MODI (M.D) is active in the NPI listing used on this page.
What is DR. PRAVEEN KUMAR MODI (M.D)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. PRAVEEN KUMAR MODI (M.D) here. Clinical services aligned with this taxonomy classification.
Where is DR. PRAVEEN KUMAR MODI (M.D) based?
DR. PRAVEEN KUMAR MODI (M.D) is tied to Plymouth, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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