RAJEN J MODY (MB BS) – Pediatric Hematology & Oncology Physician, NPI 1548270176

RAJEN J MODY (MB BS) is a healthcare provider. based in Ann arbor, Michigan. specializing in PEDIATRIC MEDICINE, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MB BS. They hold a License No. 4301070516 (MI). The NPI Number for RAJEN J MODY (MB BS) is 1548270176

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
RAJEN J MODY (MB BS)
NPI
1548270176
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
8 August 2006
Last Update Date
30 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346478901
Graduation Year
1988 (38 years ago)
PAC ID
9436290921
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20100510000069
Address ID
MI481090999AN1500XBXXX701
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,222 PEDIATRIC MEDICINE in MI

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Provider Addresses for RAJEN J MODY (MB BS)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $10,692.

Total Amount is formed as General ($10,692) + Research ($0) + Ownership ($0) = $10,692.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: USWM, LLC ($7,480).

Total Amount

$10,692

General + Research + Ownership

Payments

13

Total payment records

General Amount

$10,692

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2010-05-10

PECOS data refreshed: 2026-06-15

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
I20100510000069IPediatric 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.

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

Insurance plans in this area (ZIP 48108)

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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
-MI
-MI
Clinical Social WorkerMI
Interventional RadiologyMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for RAJEN J MODY (MB BS)?
RAJEN J MODY (MB BS) — NPI 1548270176 — is the standard way to identify this listing.
Can I rely on RAJEN J MODY (MB BS) being an active provider?
As of the registry snapshot, RAJEN J MODY (MB BS) is marked active.
What is RAJEN J MODY (MB BS)'s specialty?
The listing groups RAJEN J MODY (MB BS) with Pediatric Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What area does RAJEN J MODY (MB BS) serve?
RAJEN J MODY (MB BS)'s listing highlights Ann Arbor, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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