TANVISHA MODY MD
NPI 1124475751
Internal Medicine - Endocrinology, Diabetes & Metabolism in Gainesville, FL

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4340 NEWBERRY RD STE 301, GAINESVILLE, FL 32607(352) 372-9414(352) 271-5393 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2023, Aug 17, 2022, Jul 20, 2021 and 1 more (4 updates tracked since 2021).

About Tanvisha Mody Md NPPES

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

TANVISHA MODY MD (NPI 1124475751) is an individual endocrinology, diabetes & metabolism provider in Gainesville, Florida, licensed in Florida (ME149080) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124475751
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameTANVISHA MODYCredential: MD
Location Address4340 NEWBERRY RD STE 301Gainesville, FL 32607-2557
Mailing Address4340 Newberry Rd Ste 301Gainesville, FL 32607-2557 · (352) 372-9414 · Fax (352) 271-5393
Fax(352) 271-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 24, 2016
Last NPPES UpdateJanuary 12, 20234 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1124475751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in FL · ME149080
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4340 NEWBERRY RD STE 301, Gainesville, FL 32607

Other Identifiers 1

OtherRJK1OFL · Bcbs

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

Tanvisha 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 ID6901180744
PECOS Enrollment IDI20240112001115
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 19

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,980 services23 patients
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.
557 services272 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
399 services80 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.
351 services73 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
320 services194 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.
247 services247 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32607 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers15 claims15 services$177.42 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers25 claims137 services$6.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers399 claims401 services$197.66 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers30 claims30 services$217.83 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 6

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

Audiologist
4340 NEWBERRY RD STE 301
GAINESVILLE, FL 32607
Audiologist
4340 NEWBERRY RD STE 301
GAINESVILLE, FL 32607
Physician Assistant
4340 NEWBERRY RD STE 301
GAINESVILLE, FL 32607
Otolaryngology
4340 NEWBERRY RD STE 301
GAINESVILLE, FL 32607
Physician Assistant
4340 NEWBERRY RD STE 301
GAINESVILLE, FL 32607
Physician Assistant
4340 NEWBERRY RD STE 301
GAINESVILLE, FL 32607

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 Tanvisha Mody's NPI number?

The NPI number for Tanvisha Mody is 1124475751. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Tanvisha Mody located?

Tanvisha Mody practices at 4340 Newberry Rd Ste 301, Gainesville, FL 32607. The listed phone number is (352) 372-9414.

What is Tanvisha Mody's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Tanvisha Mody enrolled in Medicare?

Yes. Tanvisha 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 Tanvisha Mody affiliated with any hospitals?

According to CMS data, Tanvisha Mody is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Tanvisha Mody was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.