LILLYKUTTY ABRAHAM MODOOR NURSE PRACTITIONER
NPI 1013155969
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC

Active since January 30, 2009PECOS EnrolledAccepts Medicare Assignment
650 HIGHLAND AVE STE 100, WINSTON SALEM, NC 27101(336) 607-8523(336) 773-0916 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2023, Dec 2, 2020, Jan 15, 2020 (3 updates tracked since 2020).

About Lillykutty Abraham Modoor Nurse Practitioner NPPES

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

LILLYKUTTY ABRAHAM MODOOR NURSE PRACTITIONER (NPI 1013155969) is an individual psychiatric/mental health provider in Winston Salem, North Carolina, licensed in North Carolina (5004280) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1013155969
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLILLYKUTTY ABRAHAM MODOORCredential: NURSE PRACTITIONER
Location Address650 HIGHLAND AVE STE 100Winston Salem, NC 27101-4304
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Fax(336) 773-0916
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 30, 2009
Last NPPES UpdateFebruary 6, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1013155969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 5004280
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5004280 (NC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5004280 (NC)
650 HIGHLAND AVE STE 100, Winston Salem, NC 27101

Secondary Practice Location 1

Location 1725 Highland Ave Unit 116Winston Salem, NC 27101-4181 · Phone (336) 703-3250

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lillykutty Abraham Modoor Nurse Practitioner 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 ID648420679
PECOS Enrollment IDI20121026000698
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services31 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
38 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27101 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 11

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

Community/Behavioral Health
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101
Social Worker (Clinical)
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101
Social Worker (Clinical)
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101
Counselor (Professional)
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101
Physician Assistant
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101
Counselor (Professional)
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101
Counselor (Addiction (Substance Use Disorder))
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101
Social Worker (Clinical)
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101

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 Lillykutty Modoor's NPI number?

The NPI number for Lillykutty Modoor is 1013155969. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Lillykutty Modoor located?

Lillykutty Modoor practices at 650 Highland Ave Ste 100, Winston Salem, NC 27101. The listed phone number is (336) 607-8523.

What is Lillykutty Modoor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lillykutty Modoor enrolled in Medicare?

Yes. Lillykutty Modoor 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.

What insurance does Lillykutty Modoor accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Lillykutty Modoor 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.

Is Lillykutty Modoor affiliated with any hospitals?

According to CMS data, Lillykutty Modoor is affiliated with High Point Regional Health System.

When was this NPI record last updated?

The NPPES record for Lillykutty Modoor was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.