Arun Duggal, MD - Medicare Family Practice in Modesto, CA

Arun Duggal, MD is a medicare enrolled "Family Medicine" physician in Modesto, California. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Family Practice. His current practice location is 1401 Spanos Ct Ste 205, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 525-3199.

Arun Duggal is licensed to practice in California (license number A42295) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992751937.

Contact Information

Arun Duggal, MD
1401 Spanos Ct Ste 205,
Modesto, CA 95355-2813
(209) 525-3199
(209) 525-3802

Map and Direction




Physician's Profile

Full NameArun Duggal
GenderMale
SpecialityFamily Practice
Experience45 Years
Location1401 Spanos Ct Ste 205, Modesto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Arun Duggal graduated from medical school in 1979
  NPI Data:
  • NPI Number: 1992751937
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022148105
  • Enrollment ID: I20100616000588

Medical Identifiers

Medical identifiers for Arun Duggal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992751937NPI-NPPES
00A422951MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A42295 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterModesto, CAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Arun Duggal allows following entities to bill medicare on his behalf.
Entity NameDuggal Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467772228
PECOS PAC ID: 2163552241
Enrollment ID: O20100616000639

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Arun Duggal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Arun Duggal, MD
1401 Spanos Ct, Suite #205,
Modesto, CA 95355-2810

Ph: (209) 525-3199
Arun Duggal, MD
1401 Spanos Ct Ste 205,
Modesto, CA 95355-2813

Ph: (209) 525-3199

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.