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DR. NIKUNJKUMAR TRAMBAKLAL MODI MD
NPI 1003131343
Psychiatry & Neurology - Psychiatry in Florence, SC

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment
600 E PALMETTO ST, FLORENCE, SC 29506(843) 667-9414(843) 667-1362 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nikunjkumar Trambaklal Modi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIKUNJKUMAR TRAMBAKLAL MODI MD (NPI 1003131343) is an individual psychiatry provider in Florence, South Carolina, licensed in South Carolina (37807) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003131343
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. NIKUNJKUMAR TRAMBAKLAL MODICredential: MD
Location Address600 E PALMETTO STFlorence, SC 29506-2851
Mailing Address360 N Irby StFlorence, SC 29501-2808 · (843) 667-9414 · Fax (843) 667-1362
Phone(843) 667-9414
Fax(843) 667-1362
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 30, 2010
Last NPPES UpdateMay 24, 2016
✔ NPI 1003131343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 37807
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
600 E PALMETTO ST, Florence, SC 29506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nikunjkumar Trambaklal Modi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658671128
PECOS Enrollment IDI20151207000077
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Nikunjkumar Modi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Physician Associates II
0.1 mi
Family Medicine
506 E CHEVES ST, STE 202
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1801990494 (843) 777-7000
Mcleod Regional Medical Center Of The Pee Dee, Inc
0.2 mi
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
NPI 1154371433 (843) 777-2000
South Carolina Dept Of Mental Health Accounting Office
0.4 mi
Primary Care
125 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1073113031 (843) 317-4073
Musc Community Physicians
95 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL GWENGI-ANAM D.D.S
Dentist (General Practice)
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414
SUPEN R PATEL MD
Internal Medicine (Rheumatology)
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414
MADISON GRACE HEWITT EDWARDS PA
Physician Assistant
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414
DR. DARLENE LYNETTE JONES DO
Physical Medicine & Rehabilitation
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414
DR. L SUZANNE MALLOW MD
Family Medicine
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414
STEPHANIE NICOLE FERGUSON APRN
Nurse Practitioner (Family)
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414
HALLSY MARIE KELLAR LPC
Counselor (Professional)
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414
MRS. EDNA NICOLE COGDELL-QUICK LPC, MAC, LAC, CACII
Counselor (Professional)
600 E PALMETTO ST
FLORENCE, SC 29506
Florence County (843) 667-9414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikunjkumar Modi's NPI number?

The NPI number for Nikunjkumar Modi is 1003131343. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Nikunjkumar Modi located?

Nikunjkumar Modi practices at 600 E Palmetto St, Florence, SC 29506. The listed phone number is (843) 667-9414.

What is Nikunjkumar Modi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nikunjkumar Modi enrolled in Medicare?

Yes. Nikunjkumar Modi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nikunjkumar Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikunjkumar Modi reassigns Medicare benefits to 4 organizations: Mcleod Physician Associates II (Florence, SC), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC), South Carolina Dept Of Mental Health Accounting Office (Florence, SC) and Musc Community Physicians (Bamberg, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nikunjkumar Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikunjkumar Modi accept?

Health plans from First Choice Next, Molina Healthcare and UnitedHealthcare list Nikunjkumar Modi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nikunjkumar Modi was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.