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DR. MAMTA DEVSHI MODHWADIA M.D
NPI 1043353667
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since February 14, 2007PECOS Enrolled
3853 ROSECRANS STREET, SAN DIEGO, CA 92110(619) 692-8232(619) 542-4060 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mamta Devshi Modhwadia M.d NPPES

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

DR. MAMTA DEVSHI MODHWADIA M.D (NPI 1043353667) is an individual psychiatry provider in San Diego, California, licensed in California (A113990) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043353667
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MAMTA DEVSHI MODHWADIACredential: M.D
Location Address3853 ROSECRANS STREETSan Diego, CA 92110-3960
Mailing Address3853 Rosecrans StreetSan Diego, CA 92110-3960
Phone(619) 692-8232
Fax(619) 542-4060
Sole ProprietorYes
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJune 12, 2014
✔ NPI 1043353667 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 CA · A113990
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.
3853 ROSECRANS STREET, San Diego, CA 92110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mamta Devshi Modhwadia M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Mamta Modhwadia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Senior Medical Associates, Inc.
4.1 mi
Geriatric Medicine
2810 CAMINO DEL RIO S, STE 102
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 98 clinicians in this Medicare group
NPI 1629253505 (858) 385-1419
Neighborhood Healthcare
27 mi
Federally Qualified Health Center (FQHC)
460 N ELM ST
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group
NPI 1598703647 (760) 520-8100

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 92110 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 16

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

MR. DAVID WILLIAM WAGNER R.N.
Registered Nurse (Psychiatric/Mental Health, Adult)
3853 ROSECRANS STREET, SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
ADRIAN S DOMINGO
Licensed Vocational Nurse
3853 ROSECRANS STREET
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
DR. SOHEYLA TALEBIMARANDI M.D.
Psychiatry & Neurology (Psychiatry)
3853 ROSECRANS STREET, SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
LUIS LOPEZ REGISTERED NURSE
Registered Nurse
3853 ROSECRANS STREET, MAIL STOP P-533
SAN DIEGO, CA 92110
San Diego County (619) 692-8222
MRS. RONAELE C BLANKS LVN
Licensed Vocational Nurse
3853 ROSECRANS STREET
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
KEYSHA CLARKE
Day Training/Habilitation Specialist
3853 ROSECRANS STREET
SAN DIEGO, CA 92110
San Diego County (619) 692-8225
COUNTY OF SAN DIEGO
Community/Behavioral Health
3853 ROSECRANS STREET
SAN DIEGO, CA 92110
San Diego County (619) 692-8200
CYRESS ALEXANDER RN
Registered Nurse
3853 ROSECRANS STREET
SAN DIEGO, CA 92110
San Diego County (619) 692-8225

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 Mamta Modhwadia's NPI number?

The NPI number for Mamta Modhwadia is 1043353667. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Mamta Modhwadia located?

Mamta Modhwadia practices at 3853 Rosecrans Street, San Diego, CA 92110. The listed phone number is (619) 692-8232.

What is Mamta Modhwadia's specialty?

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

Is Mamta Modhwadia enrolled in Medicare?

Yes. Mamta Modhwadia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mamta Modhwadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamta Modhwadia reassigns Medicare benefits to 2 organizations: Senior Medical Associates, Inc. (San Diego, CA) and Neighborhood Healthcare (Escondido, CA). 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 Mamta Modhwadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mamta Modhwadia was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.