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DR. KULWANT SINGH MODI MD,FACP,FASN
NPI 1063414217
Internal Medicine - Nephrology in Baltimore, MD

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
2000 W BALTIMORE ST FL 3, BALTIMORE, MD 21223(410) 362-3400(410) 720-2545 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kulwant Singh Modi Md,facp,fasn NPPES

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

DR. KULWANT SINGH MODI MD,FACP,FASN (NPI 1063414217) is an individual nephrology provider in Baltimore, Maryland, licensed in Maryland (D 0059917) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ellicott City, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1063414217
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. KULWANT SINGH MODICredential: MD,FACP,FASN
Location Address2000 W BALTIMORE ST FL 3Baltimore, MD 21223-1558
Mailing Address2000 W Baltimore StBaltimore, MD 21223-1558 · (410) 362-3000 · Fax (410) 362-3338
Phone(410) 362-3400
Fax(410) 720-2545
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1063414217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MD · D 0059917
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2000 W BALTIMORE ST FL 3, Baltimore, MD 21223
Open in Google Maps ↗

Secondary Practice Location 1

Location 14310 English Morning LnEllicott City, MD 21043-6790 · Phone (410) 418-8740 · Fax (410) 418-8740

Other Identifiers 1

Medicaid4018206 00MD

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

Dr. Kulwant Singh Modi Md,facp,fasn 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 ID9830110592
PECOS Enrollment IDI20051209000613
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 Reassignment

Medicare enrollment records show Kulwant Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maryland Nephrology Clinic LLC
Same address
Nephrology
2000 W BALTIMORE ST FL 3
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1538138185 (410) 362-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
136 services18 patients
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.
83 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21223 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%34 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%323 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%73 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%90 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%140 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 88% · 75 patients
95%75 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
22%72 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 86 patients
0%86 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MARYLAND NEPHROLOGY CLINIC LLC
Internal Medicine (Nephrology)
2000 W BALTIMORE ST FL 3
BALTIMORE, MD 21223
Baltimore City (410) 362-3400

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 Kulwant Modi's NPI number?

The NPI number for Kulwant Modi is 1063414217. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Kulwant Modi located?

Kulwant Modi practices at 2000 W Baltimore St Fl 3, Baltimore, MD 21223. The listed phone number is (410) 362-3400.

What is Kulwant Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kulwant Modi enrolled in Medicare?

Yes. Kulwant 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 Kulwant Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kulwant Modi reassigns Medicare benefits to Maryland Nephrology Clinic LLC (Baltimore, MD). 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 Kulwant Modi'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 Kulwant Modi was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.