DR. AAKASH M MODI M.D.
NPI 1043573769
Internal Medicine - Pulmonary Disease in Celebration, FL

Q: What is Aakash Modi's NPI number?

The NPI number for Aakash Modi is 1043573769. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Aakash Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Aakash Modi was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

400 CELEBRATION PL STE A290, CELEBRATION, FL 34747(407) 303-3827(407) 303-3828 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, Sep 27, 2019 (2 updates tracked since 2019).

On this page

About Dr. Aakash M Modi M.d. NPPES

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

DR. AAKASH M MODI M.D. (NPI 1043573769) is an individual pulmonary disease provider in Celebration, Florida, licensed in Florida (ME141110) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1043573769

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. AAKASH M MODICredential: M.D.

Location Address400 CELEBRATION PL STE A290Celebration, FL 34747-4970

Mailing Address400 Celebration Pl Ste A290Celebration, FL 34747-4970 · (407) 303-3827 · Fax (407) 303-3828

Phone(407) 303-3827

Fax(407) 303-3828

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 18, 2012

Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1043573769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · ME141110

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME141110 (FL)

400 CELEBRATION PL STE A290, Celebration, FL 34747

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Secondary Practice Location 1

Location 11301 Palm AveJacksonville, FL 32207-8432 · Phone (904) 202-7300 · Fax (904) 202-7433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Dr. Aakash M Modi M.d. 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 ID3678804580

PECOS Enrollment IDI20191008000782

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 3

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.

82 services75 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

51 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100137

Location40100 Hwy 27Davenport, FL 33837 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34747 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

AMENDHA WARE APRN

Nurse Practitioner (Family)

400 CELEBRATION PL STE A290
CELEBRATION, FL 34747

Osceola County (407) 303-3827

ERNIE ORPILLA PARANI APRN

Nurse Practitioner (Family)

400 CELEBRATION PL STE A290
KISSIMMEE, FL 34747

Osceola County (407) 303-3827

JONATHAN DAVID BOHNER PA-C

Physician Assistant

400 CELEBRATION PL STE A290
CELEBRATION, FL 34747

Osceola County (407) 303-3827

COLLEEN BERNADETTE GAUGHAN M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

400 CELEBRATION PL STE A290
CELEBRATION, FL 34747

Osceola County (407) 303-3827

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 Aakash Modi's NPI number?

The NPI number for Aakash Modi is 1043573769. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Aakash Modi located?

Aakash Modi practices at 400 Celebration Pl Ste A290, Celebration, FL 34747. The listed phone number is (407) 303-3827.

What is Aakash Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Aakash Modi enrolled in Medicare?

Yes. Aakash 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.

What insurance does Aakash Modi accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Aakash 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 Aakash Modi affiliated with any hospitals?

According to CMS data, Aakash Modi is affiliated with Adventhealth Orlando and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Aakash Modi was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.