DR. ARIEL MARCELO MODRYKAMIEN M.D. NPI 1003012477
Internal Medicine - Pulmonary Disease in Dallas, TX
About DR. ARIEL MARCELO MODRYKAMIEN M.D.
Ariel Modrykamien is an internist established in Dallas, Texas and his medical specialization is Internal Medicine with a focus in pulmonary disease with more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1003012477 assigned on June 2007. The practitioner's primary taxonomy code is 207RP1001X with license number P8278 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.
| NPI | 1003012477 |
| Provider Name | DR. ARIEL MARCELO MODRYKAMIEN M.D. |
| Location Address | 3600 GASTON AVE WADLEY TOWER, SUITE 960 DALLAS, TX 75246 |
| Location Phone | (402) 972-6078 |
| Mailing Address | 3600 GASTON AVE WADLEY TOWER, SUITE 960 DALLAS, TX 75246 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-22-2007 |
| Last Update Date | 04-06-2022 |
An internist like Ariel Modrykamien is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Ariel Modrykamien is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Ariel Modrykamien is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Baylor University Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.04 for a new patient copayment and $26.41 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RP1001X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Pulmonary Disease |
| License No. | P8278 |
| License State | TX |
| Taxonomy Description | An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
3600 GASTON AVE
WADLEY TOWER, SUITE 960
DALLAS, TX
ZIP 75246
Phone: (402) 972-6078
Mailing Address
3600 GASTON AVE
WADLEY TOWER, SUITE 960
DALLAS, TX
ZIP 75246
Phone: (402) 972-6078
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3274665963 |
| PECOS Enrollment ID | I20140703000600 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 75246 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $59.43 | $179.71 | $136.17 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.85 | $44.92 | $34.04 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.75 | $147.31 | $105.64 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.68 | $36.82 | $26.41 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 18Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
- 12Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ariel Modrykamien is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE DALLAS, TX 75246 | (214) 820-0111 | Acute Care Hospitals | 450021 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | P8278 | TX | No |
Taxonomy Description: an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. | |||||||
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 337372201 | MEDICAID (05) | TX |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 2 | 4 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 4 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 4 + 4 + 1 + 4 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1003012477 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043215429 | NORMAN SLUSHER M.D. Individual | Ophthalmology | 3600 GASTON AVE STE 964 DALLAS, TX 75246 (214) 826-7470 |
| 1508861527 | DR. GEORGE JACKSON SNIPES JR. M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3600 GASTON AVE WADLEY TOWER, #261 DALLAS, TX 75246 (214) 823-6492 |
| 1871598466 | HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3600 GASTON AVE STE 404 DALLAS, TX 75246 (214) 827-3890 |
| 1437154077 | HEALTHTEXAS PROVIDER NETWORK-NEUROSURGICAL ASSOCIATES, LLP Organization | Neurological Surgery | 3600 GASTON AVE STE 1158-WADLEY DALLAS, TX 75246 (214) 820-8585 |
| 1144226218 | HEALTHTEXAS PROVIDER NETWORK-ORTHOPEDIC SERVICES, LLP Organization | Orthopaedic Surgery | 3600 GASTON AVE STE 1101 DALLAS, TX 75246 (214) 820-8350 |
| 1376541193 | HEALTHTEXAS PROVIDER NETWORK Organization | Orthopaedic Surgery | 3600 GASTON AVE SUITE 1101 DALLAS, TX 75246 (214) 820-7010 |
| 1295736437 | DR. JOHN MICHAEL JORDAN M.D. Individual | Internal Medicine (Pulmonary Disease) | 3600 GASTON AVE SUITE 806 DALLAS, TX 75246 (214) 824-8521 |
| 1225028988 | ANNAH M KING OTR/L, CHT Individual | Specialist | 3600 GASTON AVE SUITE 450 DALLAS, TX 75246 (214) 823-5351 |
| 1174508311 | DR. MARYAM ZAMANIAN MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3600 GASTON AVE SUITE 454 DALLAS, TX 75246 (214) 820-8940 |
| 1841279791 | JOHN EDWARD CAPEHART MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3600 GASTON AVE STE 404 BARNETT TOWER DALLAS, TX 75246 (214) 824-6718 |
| 1790756369 | DR. CAROL FAITH ADAIR M.D. Individual | Pathology (Anatomic Pathology) | 3600 GASTON AVE SUITE 261 WADLEY TOWER DALLAS, TX 75246 (214) 818-9100 |
| 1316912876 | TROY W SCOTT M.D. Individual | Specialist | 3600 GASTON AVE BARNETT TOWER SUITE 906 DALLAS, TX 75246 (214) 824-8310 |
| 1396710224 | DR. BRUCE ALLEN SMITH M.D. Individual | Surgery | 3600 GASTON AVE STE. 710 DALLAS, TX 75246 (214) 827-5820 |
| 1982666434 | PHILIP L KELTON JR MD PA Organization | Surgery (Plastic and Reconstructive Surgery) | 3600 GASTON AVE WADLEY TOWER SUITE 1054 DALLAS, TX 75246 (214) 826-8950 |
| 1144282211 | ERIK FETNER, M.D., P.A. Organization | Colon & Rectal Surgery | 3600 GASTON AVE SUITE 1209 DALLAS, TX 75246 (214) 824-2573 |
| 1720045479 | DR. FREDERICK C. LESTER M.D. Individual | Plastic Surgery | 3600 GASTON AVE #751 DALLAS, TX 75246 (214) 821-6580 |
| 1013975176 | DAVID TAYLOR Individual | Specialist | 3600 GASTON AVE SUITE 458 DALLAS, TX 75246 (214) 823-3571 |
| 1801854187 | DR. SAMUEL PHILIP MARYNICK M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3600 GASTON AVE SUITE 506 BARNETT TOWER DALLAS, TX 75246 (214) 828-2444 |
| 1487612156 | DR. JAVED GILL MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3600 GASTON AVE WADLEY TOWER, #261 DALLAS, TX 75246 (214) 823-6492 |
| 1851359079 | DR. MICHAEL S MILNER M.D. Individual | Ophthalmology | 3600 GASTON AVE STE. 609 LB120 DALLAS, TX 75246 (214) 826-8201 |
Frequently Asked Questions
What is Dr. Ariel Modrykamien M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003012477, enumerated in the NPI registry as an "individual" on June 22, 2007
Where is the provider located?
The provider is located at 3600 Gaston Ave Wadley Tower, Suite 960 Dallas, Tx 75246 and the phone number is (402) 972-6078
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease
How many years of experience does Dr. Ariel Modrykamien M.D. have?
The provider has more than 26 years of experience.
What insurance does Dr. Ariel Modrykamien M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Ariel Modrykamien M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Ariel Modrykamien M.D.?
Medicare beneficiaries should expect a typical cost of $136.17 with an average copayment of $34.04 for new patient appointments. Established patients should expect a typical charge of $105.64 and an average copayment of 26.41. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Ariel Modrykamien M.D.?
The most common procedures or services performed by this practitioner are: Emergent insertion of breathing tube into windpipe cartilage using an endoscope and Insertion of central venous catheter for infusion, patient 5 years or older.
Is Dr. Ariel Modrykamien M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: BAYLOR UNIVERSITY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on June 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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