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DR. SUMUL MODI M.D.
NPI 1033466776
Psychiatry & Neurology - Neurology in Charlotte, NC

Active since August 13, 2012Opted out of Medicare · through Jul 1, 2027
5500 EXECUTIVE CENTER DR STE 206, CHARLOTTE, NC 28212(984) 777-9940(877) 794-5929 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2022, Oct 26, 2020, Oct 2, 2019 (3 updates tracked since 2019).

About Dr. Sumul Modi M.d. NPPES

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

DR. SUMUL MODI M.D. (NPI 1033466776) is an individual neurology provider in Charlotte, North Carolina, licensed in North Carolina (2019-01143) and active in the NPI registry since August 2012. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033466776
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SUMUL MODICredential: M.D.
Location Address5500 EXECUTIVE CENTER DR STE 206Charlotte, NC 28212-8864
Mailing Address5500 Executive Center Dr Ste 206Charlotte, NC 28212-8864 · (984) 777-9940 · Fax (877) 794-5929
Phone(984) 777-9940
Fax(877) 794-5929
Sole ProprietorNo
Enumeration DateAugust 13, 2012
Last NPPES UpdateDecember 2, 20233 updates tracked since enumeration
NPPES CertifiedDecember 2, 2023
✔ NPI 1033466776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 2019-01143
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5500 EXECUTIVE CENTER DR STE 206, Charlotte, NC 28212
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sumul Modi M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28212 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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 2

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

CELESTE BRAIN HEALTH PLLC
Psychiatry & Neurology (Neurology)
5500 EXECUTIVE CENTER DR STE 206
CHARLOTTE, NC 28212
Mecklenburg County (984) 777-9940
KELLY ANNE GILL PA-C
Physician Assistant
5500 EXECUTIVE CENTER DR STE 206
CHARLOTTE, NC 28212
Mecklenburg County (984) 777-9940

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 Sumul Modi's NPI number?

The NPI number for Sumul Modi is 1033466776. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Sumul Modi located?

Sumul Modi practices at 5500 Executive Center Dr Ste 206, Charlotte, NC 28212. The listed phone number is (984) 777-9940.

What is Sumul Modi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sumul Modi enrolled in Medicare?

No. Sumul Modi has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sumul Modi was last updated on December 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.