Dr Ankur Modi, MD - Medicare Endocrinology in New Providence, NJ

Dr Ankur Modi, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in New Providence, New Jersey. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice Summit Medical Group Pa and his current practice location is 890 Mountain Ave, New Providence, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 277-8667.

Dr Ankur Modi is licensed to practice in New Jersey (license number 25MA10857200) 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 1639466634.

Contact Information

Dr Ankur Modi, MD
890 Mountain Ave,
New Providence, NJ 07974-1218
(908) 277-8667
Not Available

Map and Direction




Physician's Profile

Full NameDr Ankur Modi
GenderMale
SpecialityEndocrinology
Experience16 Years
Location890 Mountain Ave, New Providence, New Jersey
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:
  • Dr Ankur Modi graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1639466634
  • Provider Enumeration Date: 06/29/2011
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436371986
  • Enrollment ID: I20201124002997

Medical Identifiers

Medical identifiers for Dr Ankur Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639466634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 25MA10857200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

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. Dr Ankur Modi allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Dr Ankur 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
Dr Ankur Modi, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300
Dr Ankur Modi, MD
890 Mountain Ave,
New Providence, NJ 07974-1218

Ph: (908) 277-8667

Reviews and Comments


Internal Medicine Doctors in New Providence, NJ

Dr. Khimya I Vaswani, MD
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 1806 Springfield Ave, New Providence, NJ 07974
Phone: 973-912-0104    Fax: 973-376-7040
Robert John Mich, MD
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 571 Central Ave Ste 115, Associates In Cardiovascular Disease Llc, New Providence, NJ 07974
Phone: 908-464-4200    Fax: 908-464-1332
John Patrick Farry, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 571 Central Ave Ste 115, Associates In Cardiovascular Disease Llc, New Providence, NJ 07974
Phone: 908-464-4200    Fax: 908-464-1332
Robert L Rosenbaum, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 890 Mountain Ave, New Providence, NJ 07974
Phone: 908-277-8667    Fax: 908-277-8707
Dr. James John Hakim, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 571 Central Ave Ste 112, New Providence, NJ 07974
Phone: 908-464-7300    Fax: 908-464-7350
David Bartov, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 571 Central Ave Ste 115, Associates In Cardiovascular Disease, New Providence, NJ 07974
Phone: 908-464-2000    Fax: 908-464-1332
Dr. Sushmita Srivastav, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 535 Mountain Ave, New Providence, NJ 07974
Phone: 903-516-9245    Fax: 908-516-9265

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.