SUNIL JASHVANTLAL MODI (M.D.) – Family Medicine Physician, NPI 1811195365
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for SUNIL JASHVANTLAL MODI (M.D.)
Ridgeview Drive, Allen County, Kentucky, United States
ALLEN, TX 750135544
Phone: (972) 672-4121
Fax: (972) 905-4690
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 76 Open Payments records for all available years, with a total value of $1,423.
Total Amount is formed as General ($1,423) + Research ($0) + Ownership ($0) = $1,423.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($259).
Total Amount
$1,423
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,423
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $259 |
| Abbott Laboratories | $185 |
| Lilly USA, LLC | $129 |
| Janssen Pharmaceuticals, Inc | $109 |
| PFIZER INC. | $80 |
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: 2013-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130304000454 | I | Family Practice | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 230 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 77 | $0 |
| 99497 | Advance care planning, first 30 minutes | 87 | 87 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 73 | 73 | $0 |
| 92548 | Test for balance and posture | 66 | 66 | $0 |
Insurance plans in this area (ZIP 75013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Nurse Practitioner | TX |
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