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

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Dr Ravi M Modh, DNP, APN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Englewood, New Jersey. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameDr Ravi M Modh
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location350 Engle St, Englewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1154013019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 26NJ14869500 (New Jersey)Primary

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 NameUniversity Of Penn - Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Not Enrolled in Medicare
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

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.