GUILLERMO MODAD (M.D.) – Internal Medicine Physician, NPI 1588982888
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140910002754 | I | Internal Medicine | ID | TBD |
| I20191227001272 | I | Internal Medicine | WA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | 39 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 48 | 24 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 30 | 29 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | 22 | $0 |
Insurance plans in this area (ZIP 99163)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Family Practice | WA | |
| Family Practice | WA | |
| Family Practice | ID | |
| - | WA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| Family Practice | WA |
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