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 25 years of experience. The NPI number of this provider is 1003012477 and was 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 NameDR. ARIEL MARCELO MODRYKAMIEN M.D.
Location Address3600 GASTON AVE WADLEY TOWER, SUITE 960 DALLAS, TX 75246
Location Phone(402) 972-6078
Mailing Address3600 GASTON AVE WADLEY TOWER, SUITE 960 DALLAS, TX 75246
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1998
Is Sole Proprietor?No
Enumeration Date06-22-2007
Last Update Date04-06-2022

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 primary taxonomy code defines the provider type, classification, and 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 Code207RP1001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPulmonary Disease
License No.P8278
License StateTX
Taxonomy DescriptionAn 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

Get Directions


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 Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3274665963
PECOS Enrollment IDI20140703000600
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.

  • 44Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • 35Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
  • 22Measurement of lung diffusing capacity (HCPCS:94729)
  • 20Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)

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
1207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineP8278TXNo

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


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
337372201MEDICAID (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.
1003012477
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014414
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 = 77

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
Ophthalmology3600 GASTON AVE STE 964
DALLAS, TX 75246
(214) 826-7470
1508861527DR. GEORGE JACKSON SNIPES JR. M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3600 GASTON AVE WADLEY TOWER, #261
DALLAS, TX 75246
(214) 823-6492
1871598466HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)3600 GASTON AVE STE 404
DALLAS, TX 75246
(214) 827-3890
1437154077HEALTHTEXAS PROVIDER NETWORK-NEUROSURGICAL ASSOCIATES, LLP
Organization
Neurological Surgery3600 GASTON AVE STE 1158-WADLEY
DALLAS, TX 75246
(214) 820-8585
1144226218HEALTHTEXAS PROVIDER NETWORK-ORTHOPEDIC SERVICES, LLP
Organization
Orthopaedic Surgery3600 GASTON AVE STE 1101
DALLAS, TX 75246
(214) 820-8350
1376541193HEALTHTEXAS PROVIDER NETWORK
Organization
Orthopaedic Surgery3600 GASTON AVE SUITE 1101
DALLAS, TX 75246
(214) 820-7010
1295736437DR. 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
Specialist3600 GASTON AVE SUITE 450
DALLAS, TX 75246
(214) 823-5351
1174508311DR. 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
1790756369DR. 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
Specialist3600 GASTON AVE BARNETT TOWER SUITE 906
DALLAS, TX 75246
(214) 824-8310
1396710224DR. BRUCE ALLEN SMITH M.D.
Individual
Surgery3600 GASTON AVE STE. 710
DALLAS, TX 75246
(214) 827-5820
1982666434PHILIP L KELTON JR MD PA
Organization
Surgery (Plastic and Reconstructive Surgery)3600 GASTON AVE WADLEY TOWER SUITE 1054
DALLAS, TX 75246
(214) 826-8950
1144282211ERIK FETNER, M.D., P.A.
Organization
Colon & Rectal Surgery3600 GASTON AVE SUITE 1209
DALLAS, TX 75246
(214) 824-2573
1720045479DR. FREDERICK C. LESTER M.D.
Individual
Plastic Surgery3600 GASTON AVE #751
DALLAS, TX 75246
(214) 821-6580
1013975176 DAVID TAYLOR
Individual
Specialist3600 GASTON AVE SUITE 458
DALLAS, TX 75246
(214) 823-3571
1801854187DR. SAMUEL PHILIP MARYNICK M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3600 GASTON AVE SUITE 506 BARNETT TOWER
DALLAS, TX 75246
(214) 828-2444
1487612156DR. JAVED GILL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3600 GASTON AVE WADLEY TOWER, #261
DALLAS, TX 75246
(214) 823-6492
1851359079DR. MICHAEL S MILNER M.D.
Individual
Ophthalmology3600 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, registered as an "individual" on June 22, 2007

Where is Dr. Ariel Modrykamien M.D. located?

The provider is located at 3600 Gaston Ave Wadley Tower, Suite 960 Dallas, Tx 75246 and the phone number is (402) 972-6078

Which is Dr. Ariel Modrykamien M.D. specialty?

The provider's speciality is Internal Medicine with a focus in Pulmonary Disease

How many years of experience does Dr. Ariel Modrykamien M.D. have?

The provider has more than 25 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 January 10, 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: Insertion of central venous catheter for infusion, patient 5 years or older, Emergent insertion of breathing tube into windpipe cartilage using an endoscope, Measurement of lung diffusing capacity and Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration.

How do I update my NPI information?

The NPI record of Dr. Ariel Modrykamien M.D. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]