Dr Tushar R Modi, MD - Medicare Internal Medicine in Modesto, CA

Dr Tushar R Modi, MD is a medicare enrolled "Internal Medicine" physician in Modesto, California. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 413 E Orangeburg Ave, Suite A, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 529-9600.

Dr Tushar R Modi is licensed to practice in California (license number A447380) 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 1679551352.

Contact Information

Dr Tushar R Modi, MD
413 E Orangeburg Ave, Suite A,
Modesto, CA 95350-5315
(209) 529-9600
(209) 544-2620

Map and Direction




Physician's Profile

Full NameDr Tushar R Modi
GenderMale
SpecialityInternal Medicine
Experience43 Years
Location413 E Orangeburg Ave, 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:
  • Dr Tushar R Modi graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1679551352
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 02/19/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3971647488
  • Enrollment ID: I20100222000827

Medical Identifiers

Medical identifiers for Dr Tushar R Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679551352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine A44738 (California)Secondary
207RS0010XInternal Medicine - Sports Medicine A447380 (California)Secondary
207R00000XInternal Medicine A447380 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterModesto, CAHospital
Adventist Health SonoraSonora, CAHospital
Emanuel Medical CenterTurlock, 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. Dr Tushar R Modi allows following entities to bill medicare on his behalf.
Entity NameTushar R Modi, Md., Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230343
PECOS PAC ID: 9830314806
Enrollment ID: O20140707001454

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 Tushar R 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 Tushar R Modi, MD
413 E Orangeburg Ave, Suite A,
Modesto, CA 95350-5315

Ph: (209) 529-9600
Dr Tushar R Modi, MD
413 E Orangeburg Ave, Suite A,
Modesto, CA 95350-5315

Ph: (209) 529-9600

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.