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RAJIV MODAK MD
NPI 1124002324
Pediatrics in Tucson, AZ

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
1500 W COMMERCE CT, TUCSON, AZ 85746(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rajiv Modak Md NPPES

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

RAJIV MODAK MD (NPI 1124002324) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (28426) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1997).

NPPES Registry Identity

NPI1124002324
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAJIV MODAKCredential: MD
Location Address1500 W COMMERCE CTTucson, AZ 85746-6031
Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560
Phone(520) 670-3909
Fax(520) 309-2560
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1997
Enumeration DateDecember 1, 2005
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1124002324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 28426
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.
1500 W COMMERCE CT, Tucson, AZ 85746
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Other Identifiers 1

Medicaid527690AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

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

Rajiv Modak 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 ID5092093740
PECOS Enrollment IDI20161031001817
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 Rajiv Modak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Rio Santa Cruz Neighborhood Health Center, Inc
2.5 mi
Federally Qualified Health Center (FQHC)
225 W IRVINGTON RD
Tucson, AZ 85714
  • Reassigned Medicare billing, Arizona enrollment
  • 464 clinicians in this Medicare group
NPI 1932490109 (520) 670-3857

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85746 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 18

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

KELSEY LORRAINE SPECIALE PHARMD, CDCES
Pharmacist (Ambulatory Care)
1500 W COMMERCE CT
TUCSON, AZ 85746
Pima County (520) 309-3103
SARAH SAMOY MD
Pediatrics
1500 W COMMERCE CT
TUCSON, AZ 85746
Pima County (520) 670-3909
MICHELLE L AGUILAR MD
Pediatrics
1500 W COMMERCE CT
TUCSON, AZ 85746
Pima County (520) 670-3909
LISA SOLTANI MD
Internal Medicine
1500 W COMMERCE CT
TUCSON, AZ 85746
Pima County (520) 670-3909
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 W COMMERCE CT, BLDG 01, 02
TUCSON, AZ 85746
Pima County (520) 309-3006
DR. DANIEL CHRISTOPHER LOPEZ FNP-BC
Nurse Practitioner (Primary Care)
1500 W COMMERCE CT
TUCSON, AZ 85746
Pima County (520) 670-3909
EL RIO HEALTH CENTER (SOUTHWEST)
Pharmacy (Clinic Pharmacy)
1500 W COMMERCE CT
TUCSON, AZ 85746
Pima County (520) 434-0678
RAMA SIRISHA DASARI MD
Internal Medicine (Geriatric Medicine)
1500 W COMMERCE CT
TUCSON, AZ 85746
Pima County (520) 670-3909

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 Rajiv Modak's NPI number?

The NPI number for Rajiv Modak is 1124002324. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Rajiv Modak located?

Rajiv Modak practices at 1500 W Commerce Ct, Tucson, AZ 85746. The listed phone number is (520) 670-3909.

What is Rajiv Modak's specialty?

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

Is Rajiv Modak enrolled in Medicare?

Yes. Rajiv 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.

Which organization bills Medicare for Rajiv Modak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajiv Modak reassigns Medicare benefits to El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ). 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 Rajiv Modak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajiv Modak accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list Rajiv Modak 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.

When was this NPI record last updated?

The NPPES record for Rajiv Modak was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.