GUILLERMO MODAD (M.D.) – Internal Medicine Physician, NPI 1588982888

GUILLERMO MODAD (M.D.) is a healthcare provider. based in Pullman, Washington. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD60995770 (WA). The NPI Number for GUILLERMO MODAD (M.D.) is 1588982888

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
GUILLERMO MODAD (M.D.)
NPI
1588982888
Phone
(509) 590-2602
Address
421 NE Stadium Way
Enumeration Date
11 May 2010
Last Update Date
3 April 2026

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5099358211
Graduation Year
2010 (16 years ago)
PAC ID
0648499327
Group Practice PAC ID
9739249350
Professional Enrollment ID
I20191227001272
Address ID
WA991099523CH500XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:16State licenses:2Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

Provider Addresses for GUILLERMO MODAD (M.D.)

  • 421 NE Stadium Way

    Pullman, WA 991633825

    Phone: (509) 590-2602

    Fax: (509) 508-4024

    Type: Location

  • PO BOX 8007

    MOSCOW, ID 838430507

    Phone: (208) 883-2224

    Fax: (208) 883-6580

    Type: Mailing

  • 835 SE BISHOP BLVD

    PULLMAN, WA 991635512

    Phone: (509) 332-2541

    Type: Location

  • 700 S MAIN ST

    MOSCOW, ID 838433046

    Phone: (208) 883-6359

    Fax: (208) 883-6580

    Type: Mailing

  • 11234 Anderson St

    Graduate Medical Education Office CP 21005

    Loma Linda, CA 923542804

    Phone: (909) 558-8131

    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: 2019-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140910002754IInternal MedicineIDTBD
I20191227001272IInternal MedicineWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6439$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4824$0
99239Hospital discharge day management, more than 30 minutes3029$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 99163)

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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: 9739249350View full group profile
NameSpecialtyState
Family PracticeID
Family PracticeWA
Family PracticeWA
Family PracticeID
-WA
Family PracticeWA
Family Practice, Emergency MedicineWA
Family PracticeWA
Family PracticeWA
Family PracticeWA

Reviews

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Frequently asked questions

What unique ID ties claims to GUILLERMO MODAD (M.D.)?
NPI 1588982888 is assigned to GUILLERMO MODAD (M.D.) under the national enumeration system.
Is GUILLERMO MODAD (M.D.) currently active in the NPI registry?
CMS-published data lists GUILLERMO MODAD (M.D.) as an active registrant.
What field does GUILLERMO MODAD (M.D.) work in?
You can think of GUILLERMO MODAD (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does GUILLERMO MODAD (M.D.) practice in Washington?
You will see Pullman, Washington on file for GUILLERMO MODAD (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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