Dr Ravi M Modh, DNP, APN, CRNA in Englewood, NJ - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Ravi M Modh, DNP, APN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Englewood, New Jersey. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice University Of Penn-medical Group and his current practice location is 350 Engle St, Englewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 894-3000.

Dr Ravi M Modh is licensed to practice in New Jersey (license number 26NJ14869500) 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 1154013019.

Contact Information

	Dr Ravi M Modh, DNP, APN, CRNA
	350 Engle St, Englewood, NJ 07631-1898
	(201) 894-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Ravi M Modh
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	350 Engle St, Englewood, New Jersey
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:

Dr Ravi M Modh graduated from nursing school in 2023

NPI Data:

NPI Number: 1154013019
Provider Enumeration Date: 05/22/2023
Last Update Date: 08/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0345602207
Enrollment ID: I20230810000140

Medical Identifiers

Medical identifiers for Dr Ravi M Modh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154013019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	26NJ14869500 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn-medical Group	6204730955	3175

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 Ravi M Modh allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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 Ravi M Modh 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
Dr Ravi M Modh, DNP, APN, CRNA 15 Hopkinson Ln, Somerset, NJ 08873-7460 Ph: (732) 491-7310	Dr Ravi M Modh, DNP, APN, CRNA 350 Engle St, Englewood, NJ 07631-1898 Ph: (201) 894-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Englewood, NJ

Eldine Ciceron, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 845-821-0058
Digna Cruz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585
Joseph Pollock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3000
Barbara Shackford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585
Martina E Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Anesthesia Department, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Reinhard Kopping, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585

Dr Ravi M Modh, DNP, APN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Englewood, NJ