DR. NITA MODI (MD) – Specialist, NPI 1023016771
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. NITA MODI (MD)
Fair Ridge Drive, Fair Ridge, Pender, Chantilly, Fairfax (city), Virginia, 22035, United States
STE 300
FAIRFAX, VA 220332921
Phone: (703) 295-9360
Fax: (703) 766-9725
Type: Mailing
Saint Michael's Medical Center, 111, Central Avenue, Newark, Essex County, New Jersey, 07102, United States
NEWARK, NJ 071021909
Phone: (973) 877-5000
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: 2010-11-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101129000329 | I | Anesthesiology | NJ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| A N E S T H E S I O L O G Y | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| - | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| - | NJ | |
| A N E S T H E S I O L O G Y | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NJ |
Reviews
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