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NADEEM Y MODAN M.D.
NPI 1043697311
Emergency Medicine in Chapel Hill, NC

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
170 MANNING DR, 1ST FLOOR, PHYSICIAN'S OFFICE BUILDING, CB #7594, CHAPEL HILL, NC 27599(919) 966-6442 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nadeem Y Modan M.d. NPPES

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

NADEEM Y MODAN M.D. (NPI 1043697311) is an individual emergency medicine provider in Chapel Hill, North Carolina, licensed in North Carolina (209671) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Geisel School Of Medicine At Dartmouth (2015).

NPPES Registry Identity

NPI1043697311
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNADEEM Y MODANCredential: M.D.
Location Address170 MANNING DR, 1ST FLOOR, PHYSICIAN'S OFFICE BUILDING, CB #7594Chapel Hill, NC 27599-7594
Mailing Address40 Potter Ln, Unit 301Enfield, NH 03748-4165 · (908) 380-2133
Phone(919) 966-6442
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2015
Enumeration DateMay 6, 2015
✔ NPI 1043697311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 209671
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
170 MANNING DR, Chapel Hill, NC 27599
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Nadeem Y Modan 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 ID9537470588
PECOS Enrollment IDI20170829002104, I20240402000980
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
160 services155 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
53 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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 20

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

DR. MICHAEL RUSSELL KLEMME MD
Emergency Medicine
170 MANNING DR
CHAPEL HILL, NC 27599
Orange County (984) 974-4721
KRISTEN BETH BARRIO M.D.
Emergency Medicine
170 MANNING DR, EMERGENCY MEDICINE, POB, 1ST FLOOR, CB#7594
CHAPEL HILL, NC 27599
Orange County (919) 966-1072
CAREY KERNODLE ANDERS M.D.
Internal Medicine (Medical Oncology)
170 MANNING DR, PHYSICIAN'S OFFICE BUILDING, 3RD FLOOR
CHAPEL HILL, NC 27599
Orange County (919) 966-7828
DR. JOSHUA GRAY LONG M.D.
Emergency Medicine
170 MANNING DR, SUITE 7494
CHAPEL HILL, NC 27599
Orange County (919) 966-6440
DR. KRISTALYN K GALLAGHER D.O.
Surgery (Surgical Oncology)
170 MANNING DR, CB#7213
CHAPEL HILL, NC 27599
Orange County (919) 966-4416
DR. JULIE SALEEBY CARPENTER M.D.
Emergency Medicine
170 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-6442
PETER GEORGE CHIKES M.D.
Otolaryngology
170 MANNING DR, PHYSICIANS OFFICE BUILDING, CB 7070
CHAPEL HILL, NC 27599
Orange County (919) 966-3342
JEREMY KEITH SMITH M.D.
Emergency Medicine
170 MANNING DR, PHYSICIANS OFFICE BLDG CB# 7594
CHAPEL HILL, NC 27599
Orange County (919) 966-6442

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 Nadeem Modan's NPI number?

The NPI number for Nadeem Modan is 1043697311. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Nadeem Modan located?

Nadeem Modan practices at 170 Manning Dr 1st Floor, Physician's Office Building, Cb #7594, Chapel Hill, NC 27599. The listed phone number is (919) 966-6442.

What is Nadeem Modan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nadeem Modan enrolled in Medicare?

Yes. Nadeem Modan 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 Nadeem Modan accept?

Health plans from Blue Cross and Blue Shield of NC list Nadeem Modan 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 Nadeem Modan affiliated with any hospitals?

According to CMS data, Nadeem Modan is affiliated with Novant Health Forsyth Medical Center, Unc Lenoir Health Care, Onslow Memorial Hospital, Southeastern Regional Medical Center and Blue Ridge Healthcare Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Nadeem Modan was last updated on May 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.