MALAK PRAKASHBHAI MODI MD
NPI 1033671045
Student in an Organized Health Care Education/Training Program in Shreveport, LA
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Malak Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, GA 30132
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAWellstar Paulding Medical Center
Acute Care Hospitals · Hiram, GAWellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAWellstar Douglas Medical Center
Acute Care Hospitals · Douglasville, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71130
SHREVEPORT, LA 71130
SHREVEPORT, LA 71130
SHREVEPORT, LA 71130
SHREVEPORT, LA 71130
SHREVEPORT, LA 71130
SHREVEPORT, LA 71130
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.
Which organization bills Medicare for Malak Modi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Malak Modi reassigns Medicare benefits to Wellstar Medical Group, LLC (Dallas, GA). The 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 Malak Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Malak Modi accept?
Health plans from Oscar Health list Malak 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.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Malak Prakashbhai Modi, MD · NPI 1033671045
Student in an Organized Health Care Education/Training Program provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1033671045 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HIGHWAY, INTERNAL MEDICINE, Shreveport, LA 71130-3932
- **Phone:** (318) 626-0434
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1063790350, Dallas, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1033671045) · Data from the CMS NPPES public registry.