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SHAKEEL MODAK MBBS
NPI 1063483535
Pediatrics in New York, NY

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10021(212) 639-7623 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shakeel Modak Mbbs NPPES

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

SHAKEEL MODAK MBBS (NPI 1063483535) is an individual pediatrics provider in New York, New York, licensed in New York (222483) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1063483535
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSHAKEEL MODAKCredential: MBBS
Location Address1275 YORK AVENew York, NY 10021-6007
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Phone(212) 639-7623
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 31, 2006
Last NPPES UpdateApril 26, 2012
✔ NPI 1063483535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 222483
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1275 YORK AVE, New York, NY 10021
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Other Identifiers 2

Medicare UPINH55480
Medicare ID-Type Unspecified489X41

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

Shakeel Modak Mbbs 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 ID345429346
PECOS Enrollment IDI20110124000303
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

LIANG DENG MD
Dermatology
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813
EGBERT CLAYTON CRNA
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813
NORA ZMUIDINS CRNA
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813
IRA J DUNKEL MD
Pediatrics (Pediatric Hematology-Oncology)
1275 YORK AVE
NEW YORK, NY 10021
New York County (212) 639-2153
IDANIA FLETE-OLMEDA ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10021
New York County (212) 639-6948
DR. YULIYA LAKHMAN MD
Radiology (Diagnostic Radiology)
1275 YORK AVE, DEPARTMENT OF RADIOLOGY
NEW YORK, NY 10021
New York County (212) 639-6611
GABRIELLA D'ANDREA MD
Internal Medicine (Medical Oncology)
1275 YORK AVE
NEW YORK, NY 10021
New York County (212) 639-2000
MARNI L SHEREN-MANOFF MD
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813

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 Shakeel Modak's NPI number?

The NPI number for Shakeel Modak is 1063483535. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Shakeel Modak located?

Shakeel Modak practices at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-7623.

What is Shakeel Modak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shakeel Modak enrolled in Medicare?

Yes. Shakeel Modak 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.

When was this NPI record last updated?

The NPPES record for Shakeel Modak was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.