DR. PARTH CHANDRAKANT MODI M.D./M.H.A.
NPI 1124465927
Psychiatry & Neurology - Neurology in Voorhees, NJ

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 BOWMAN DR LOWR LEVEL2, VOORHEES, NJ 08043(856) 988-3444 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2024, Sep 27, 2022, Oct 17, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Parth Chandrakant Modi M.d./m.h.a. NPPES

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

DR. PARTH CHANDRAKANT MODI M.D./M.H.A. (NPI 1124465927) is an individual neurology provider in Voorhees, New Jersey, licensed in New Jersey (25MA10190300) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124465927
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PARTH CHANDRAKANT MODICredential: M.D./M.H.A.
Location Address100 BOWMAN DR LOWR LEVEL2Voorhees, NJ 08043-9612
Mailing Address3401 N Broad StPhiladelphia, PA 19140-5103 · (215) 767-3397
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateDecember 2, 20244 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1124465927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NJ · 25MA10190300
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT204568 (PA)
100 BOWMAN DR LOWR LEVEL2, Voorhees, NJ 08043

Other Identifiers 1

Medicaid0668974NJ

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. Parth Chandrakant Modi M.d./m.h.a. 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 ID2466702501
PECOS Enrollment IDI20180911000918
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 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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
226 services220 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.
59 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08043 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Physician Assistant
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043
Physician Assistant
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043
Nurse Practitioner (Acute Care)
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043
Psychiatry & Neurology (Neurology)
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043
Nurse Practitioner (Acute Care)
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043
Psychiatry & Neurology (Neurology)
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043
Emergency Medicine
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043
Emergency Medicine
100 BOWMAN DR LOWR LEVEL2
VOORHEES, NJ 08043

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 Parth Modi's NPI number?

The NPI number for Parth Modi is 1124465927. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Parth Modi located?

Parth Modi practices at 100 Bowman Dr Lowr Level2, Voorhees, NJ 08043. The listed phone number is (856) 988-3444.

What is Parth Modi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Parth Modi enrolled in Medicare?

Yes. Parth 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.

What insurance does Parth Modi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Parth 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 Parth Modi affiliated with any hospitals?

According to CMS data, Parth Modi is affiliated with West Jersey Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Parth Modi was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.