Mitul B Modi, MD in Maywood, IL - Medicare Pathology

Mitul B Modi, MD is a medicare enrolled "Dermatology" physician in Maywood, Illinois. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Rush University Medical Group and his current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (248) 839-7383.

Mitul B Modi is licensed to practice in Illinois (license number 036164764) 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 1649794876.

Contact Information

	Mitul B Modi, MD
	2160 S 1st Ave, Maywood, IL 60153-3328
	(248) 839-7383
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitul B Modi
Gender	Male
Speciality	Pathology
Experience	13 Years
Location	2160 S 1st Ave, Maywood, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mitul B Modi graduated from medical school in 2012

NPI Data:

NPI Number: 1649794876
Provider Enumeration Date: 07/31/2017
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 8921487869
Enrollment ID: I20230829001955

Medical Identifiers

Medical identifiers for Mitul B Modi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649794876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZD0900X	Pathology - Dermatopathology	125079219 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	036164764 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rush University Medical Center	Chicago, IL	Hospital
Rush Oak Park Hospital	Oak park, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rush University Medical Group	5496658874	1134

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. Mitul B Modi allows following entities to bill medicare on his behalf.

Entity Name	Rush University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

Entity Name	Central Illinois Pathology, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114970761 PECOS PAC ID: 9133160450 Enrollment ID: O20050517000934

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. Mitul B 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 Address	Practice Location Address
Mitul B Modi, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () -	Mitul B Modi, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (248) 839-7383

Reviews and Comments

Dermatology Doctors in Maywood, IL

Zisansha Zahirsha, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4533 Fax: 708-216-5446
Mathew Joseph, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
Lauren Moy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
James Swan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood, IL 60153 Phone: 708-485-1020 Fax: 708-485-1173
Rachit Gupta, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
Dr. Jenna Janiga Lullo, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
Dr. Farinoosh Dadrass, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4962

Mitul B Modi, MD - Medicare Pathology in Maywood, IL