DR. DIXITKUMAR N MODI MD
NPI 1124238506
Family Medicine in Cocoa Beach, FL

Active since May 23, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2176347 · Waiver
4350 N ATLANTIC AVE, COCOA BEACH, FL 32931(334) 327-9530 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2021, Oct 11, 2020, Feb 4, 2020 and 5 more (8 updates tracked since 2017).

About Dr. Dixitkumar N Modi Md NPPES

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

DR. DIXITKUMAR N MODI MD (NPI 1124238506) is an individual family medicine provider in Cocoa Beach, Florida, licensed in Florida (ME133520) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 11, 2027, and is affiliated with Holmes Regional Medical Center.

NPPES Registry Identity

NPI1124238506
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DIXITKUMAR N MODICredential: MD
Location Address4350 N ATLANTIC AVECocoa Beach, FL 32931-3656
Mailing Address4350 N Atlantic Ave Ste 1Cocoa Beach, FL 32931-3656 · (321) 613-5352 · Fax (321) 613-5356
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 3, 20218 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2021
NPI 1124238506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME133520
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4350 N ATLANTIC AVE, Cocoa Beach, FL 32931

Other Identifiers 2

Medicaid023052500FL
OtherME133520FL · Medical License

Accepted 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

Dr. Dixitkumar N Modi 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 ID9436203387
PECOS Enrollment IDI20171220002904
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2176347

Dixitkumar N Modi MD PA · Cocoa Beach, FL
Active · expires Dec 11, 2027
CLIA Number10D2176347
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDixitkumar N. Modi
Laboratory Phone(334) 327-9530
Laboratory LocationDixitkumar N Modi MD PA4350 North Atlantic Ave, Cocoa Beach, FL 32931
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 22

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.

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.
1,252 services630 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
574 services84 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
566 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
299 services229 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
180 services176 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
170 services170 patients

Hospital Affiliations CMS Care Compare 5

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32931 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers25 claims64 services$6.90 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier18 claims18 services$2.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims19 services$1.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Family Medicine
4350 N ATLANTIC AVE
COCOA BEACH, FL 32931

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 Dixitkumar Modi's NPI number?

The NPI number for Dixitkumar Modi is 1124238506. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Dixitkumar Modi located?

Dixitkumar Modi practices at 4350 N Atlantic Ave, Cocoa Beach, FL 32931. The listed phone number is (334) 327-9530.

What is Dixitkumar Modi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dixitkumar Modi enrolled in Medicare?

Yes. Dixitkumar 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.

Does Dixitkumar Modi hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2176347) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dixitkumar Modi accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Dixitkumar Modi 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 Dixitkumar Modi affiliated with any hospitals?

According to CMS data, Dixitkumar Modi is affiliated with Holmes Regional Medical Center, Parrish Medical Center, Cape Canaveral Hospital, Melbourne Regional Medical Center and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Dixitkumar Modi was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.