MALAK PRAKASHBHAI MODI MD
NPI 1033671045
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
1501 KINGS HIGHWAY, INTERNAL MEDICINE, SHREVEPORT, LA 71130(318) 626-0434 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Malak Prakashbhai Modi Md NPPES

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

MALAK PRAKASHBHAI MODI MD (NPI 1033671045) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033671045
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMALAK PRAKASHBHAI MODICredential: MD
Location Address1501 KINGS HIGHWAY, INTERNAL MEDICINEShreveport, LA 71130-3932
Mailing Address1501 Kings Highway, Internal MedicineShreveport, LA 71130-3932 · (318) 626-0434
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 1, 2019
NPI 1033671045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1501 KINGS HIGHWAY, Shreveport, LA 71130

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

Malak Prakashbhai 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 ID244561405
PECOS Enrollment IDI20251007002920
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.

Hospital Affiliations CMS Care Compare 4

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

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.

Emergency Medicine
1501 KINGS HIGHWAY, EMERGENCY MEDICINE
SHREVEPORT, LA 71130
Psychiatry & Neurology (Psychiatry)
1501 KINGS HIGHWAY, PSYCHIATRY
SHREVEPORT, LA 71130
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, INTERNAL MEDICINE
SHREVEPORT, LA 71130
Emergency Medicine
1501 KINGS HIGHWAY, EMERGENCY MEDICINE
SHREVEPORT, LA 71130
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, PATHOLOGY
SHREVEPORT, LA 71130
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, INTERNAL MEDICINE
SHREVEPORT, LA 71130
Emergency Medicine
1501 KINGS HIGHWAY, EMERGENCY MEDICINE
SHREVEPORT, LA 71130
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, ORAL SURGERY
SHREVEPORT, LA 71130

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 Malak Modi's NPI number?

The NPI number for Malak Modi is 1033671045. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Malak Modi located?

Malak Modi practices at 1501 Kings Highway Internal Medicine, Shreveport, LA 71130. The listed phone number is (318) 626-0434.

What is Malak Modi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Malak Modi enrolled in Medicare?

Yes. Malak 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.

Is Malak Modi affiliated with any hospitals?

According to CMS data, Malak Modi is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Malak Modi was last updated on April 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.