Harshil Modi, - Medicare Family Practice in Walnut Creek, CA

Harshil Modi, is a medicare enrolled "Family Medicine" physician in Walnut Creek, California. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Merced Hospitalist Medical Group Inc and his current practice location is 215 Lennon Ln Ste 200, Walnut Creek, California. You can reach out to his office (for appointments etc.) via phone at (925) 685-4224.

Harshil Modi is licensed to practice in California (license number A192164) 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 1639759020.

Contact Information

Harshil Modi,
215 Lennon Ln Ste 200,
Walnut Creek, CA 94598-2543
(925) 685-4224
Not Available

Map and Direction




Physician's Profile

Full NameHarshil Modi
GenderMale
SpecialityFamily Practice
Experience5 Years
Location215 Lennon Ln Ste 200, Walnut Creek, 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:
  • Harshil Modi graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1639759020
  • Provider Enumeration Date: 04/10/2021
  • Last Update Date: 01/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2668814021
  • Enrollment ID: I20241014003881

Medical Identifiers

Medical identifiers for Harshil Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639759020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A192164 (California)Primary
207QS1201XFamily Medicine - Sleep Medicine A192164 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterMerced, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Merced Hospitalist Medical Group Inc589094858236

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. Harshil Modi allows following entities to bill medicare on his behalf.
Entity NameGolden Valley Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356445753
PECOS PAC ID: 4183527187
Enrollment ID: O20040128000641
Entity NameMerced Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730431875
PECOS PAC ID: 5890948582
Enrollment ID: O20130108000022

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. Harshil 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
Harshil Modi,
215 Lennon Ln Ste 200,
Walnut Creek, CA 94598-2543

Ph: (925) 685-4224
Harshil Modi,
215 Lennon Ln Ste 200,
Walnut Creek, CA 94598-2543

Ph: (925) 685-4224

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.