SWATI SHAH MODY (MD) – Diagnostic Radiology Physician, NPI 1265455703

SWATI SHAH MODY (MD) is a healthcare provider. based in Detroit, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301064919 (MI). The NPI Number for SWATI SHAH MODY (MD) is 1265455703

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
SWATI SHAH MODY (MD)
NPI
1265455703
Phone
(313) 745-0255
Address
3901 BEAUBIEN ST DEPT OF
Enumeration Date
25 July 2006
Last Update Date
1 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346478901
Graduation Year
1991 (35 years ago)
PAC ID
8022198134
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20101203001237
Address ID
MI481090999AN1500XLEVE601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,649 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for SWATI SHAH MODY (MD)

  • 3901 BEAUBIEN ST DEPT OF

    DETROIT, MI 482012119

    Phone: (313) 745-0255

    Fax: (313) 993-0393

    Type: Mailing

  • 24500 Northwestern Hwy

    Southfield, MI 48075

    Phone: (248) 353-1280

    Fax: (248) 353-6193

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • Lyngklip & Associates Consumer Law Center, PLC, 24500, Northwestern Highway, Southfield, Oakland County, Michigan, 48075, United States

    SOUTHFIELD, MI 48075

    Phone: (248) 353-1280

    Fax: (248) 353-6193

    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: 2010-12-03

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
I20101203001237IDiagnostic RadiologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Is there an official ID for SWATI SHAH MODY (MD) in U.S. healthcare records?
The official identifier for SWATI SHAH MODY (MD) is NPI 1265455703.
Would SWATI SHAH MODY (MD) appear as active to a payer?
You can treat SWATI SHAH MODY (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SWATI SHAH MODY (MD)?
SWATI SHAH MODY (MD)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is SWATI SHAH MODY (MD) located near Detroit?
SWATI SHAH MODY (MD) currently maps to Detroit, Michigan in this extract.
Can I trust this NPI listing for SWATI SHAH MODY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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