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KOKILA MODY MD
NPI 1104894146
Pathology - Anatomic Pathology & Clinical Pathology in Staten Island, NY

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1 EDGEWATER PLAZA, 1ST FL. LAB, STATEN ISLAND, NY 10305(718) 226-4130(718) 226-4185 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kokila Mody Md NPPES

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

KOKILA MODY MD (NPI 1104894146) is an individual anatomic pathology & clinical pathology provider in Staten Island, New York, licensed in New York (113624) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (1965).

NPPES Registry Identity

NPI1104894146
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameKOKILA MODYCredential: MD
Location Address1 EDGEWATER PLAZA, 1ST FL. LABStaten Island, NY 10305
Mailing Address1 Edgewater St, 6th Fl. Payer RelationsStaten Island, NY 10305-4900 · (718) 226-1008 · Fax (718) 226-1039
Phone(718) 226-4130
Fax(718) 226-4185
Sole ProprietorNo
Medical School CMSOtherGraduated 1965
Enumeration DateMarch 8, 2006
Last NPPES UpdateMay 8, 2008
✔ NPI 1104894146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NY · 113624
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedSpecialistTaxonomy 174400000X · License 1136241 (NY)
1 EDGEWATER PLAZA, Staten Island, NY 10305
Open in Google Maps ↗

Other Identifiers 4

Other220016392Railroad Medicare
Medicare UPINC11139
Medicare PIN54D601NY
Medicare PIN54D60WS421NY

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

Kokila Mody Md 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 ID7911095658
PECOS Enrollment IDI20071114000314
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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
565 services237 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
166 services104 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
93 services83 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
86 services73 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
77 services42 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
69 services14 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

HENRY SIMPKINS MD
Pathology (Anatomic Pathology)
1 EDGEWATER PLAZA, 1ST FL. LAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-4133
EMIL L PETROV MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 EDGEWATER PLAZA, 1ST FL. LAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-4130
MONIKA WRZOLEK MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 EDGEWATER PLAZA, 1ST FL. LAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-4130
JOTICA TALWAR MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 EDGEWATER PLAZA, 1ST FL. LAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-4130
YANYU SUN MD
Pathology (Anatomic Pathology)
1 EDGEWATER PLAZA, 1ST FL. LAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-4130
STATEN ISLAND UNIVERSITY HOSPITAL PATHOLOGY GROUP
Pathology (Anatomic Pathology)
1 EDGEWATER PLAZA, 1ST FLOOR - LABORATORY
STATEN ISLAND, NY 10305
Richmond County (718) 226-4502
VISITACION PABICON MD
Pathology (Anatomic Pathology)
1 EDGEWATER PLAZA, 1ST FL. LAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-4130

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 Kokila Mody's NPI number?

The NPI number for Kokila Mody is 1104894146. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kokila Mody located?

Kokila Mody practices at 1 Edgewater Plaza 1st Fl. Lab, Staten Island, NY 10305. The listed phone number is (718) 226-4130.

What is Kokila Mody's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Kokila Mody enrolled in Medicare?

Yes. Kokila Mody 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.

Is Kokila Mody affiliated with any hospitals?

According to CMS data, Kokila Mody is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Kokila Mody was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.