Dhruv Kamleshkumar Modi, MD - Medicare Internal Medicine in Fayetteville, GA

Dhruv Kamleshkumar Modi, MD is a medicare enrolled "Internal Medicine" physician in Fayetteville, Georgia. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Nephrology Consultants Of Georgia, P.c. and his current practice location is 1267 Highway 54 W Ste 5400, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 817-5542.

Dhruv Kamleshkumar Modi is licensed to practice in Florida (license number ME130877) 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 1891185815.

Contact Information

Dhruv Kamleshkumar Modi, MD
1267 Highway 54 W Ste 5400,
Fayetteville, GA 30214-2113
(678) 817-5542
Not Available

Map and Direction




Physician's Profile

Full NameDhruv Kamleshkumar Modi
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location1267 Highway 54 W Ste 5400, Fayetteville, Georgia
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:
  • Dhruv Kamleshkumar Modi graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1891185815
  • Provider Enumeration Date: 01/29/2015
  • Last Update Date: 09/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486936408
  • Enrollment ID: I20220602003182

Medical Identifiers

Medical identifiers for Dhruv Kamleshkumar Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891185815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME130877 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Fayette HospitalFayetteville, GAHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nephrology Consultants Of Georgia, P.c.701290380011

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. Dhruv Kamleshkumar Modi allows following entities to bill medicare on his behalf.
Entity NameNephrology Consultants Of Georgia, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265502892
PECOS PAC ID: 7012903800
Enrollment ID: O20040426000776

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. Dhruv Kamleshkumar Modi 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
Dhruv Kamleshkumar Modi, MD
275 Collier Rd Nw Ste 290,
Atlanta, GA 30309-1700

Ph: (404) 352-3300
Dhruv Kamleshkumar Modi, MD
1267 Highway 54 W Ste 5400,
Fayetteville, GA 30214-2113

Ph: (678) 817-5542

Reviews and Comments


Internal Medicine Doctors in Fayetteville, GA

Carzadean Bernadette Hall, M.D.
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Phone: 404-216-0132    
Vipin Ramprasad Lohiya, M.D.
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Phone: 678-829-1060    Fax: 678-829-1099
Connie Dupre, MD
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Practice Location: 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214
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Poonam Ramani, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 105 Carnegie Pl Ste 103, Fayetteville, GA 30214
Phone: 770-716-7999    Fax: 770-716-8444
Sushee C Gadde, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214
Phone: 770-716-0051    Fax: 770-716-0087
Dr. John E Burney, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214
Phone: 678-817-6550    Fax: 404-350-8795
Dr. Bryan L Woods, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214
Phone: 770-719-3240    Fax: 770-719-3241

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.