SUSHIL S. MODY MD
NPI 1164481891
Pediatrics in E Stroudsburg, PA

Q: What is Sushil Mody's NPI number?

The NPI number for Sushil Mody is 1164481891. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is Sushil Mody's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sushil Mody was last updated on February 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2006PECOS Enrolled

175 E BROWN ST, SUITE 108, E STROUDSBURG, PA 18301(570) 476-3585(570) 421-9014 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sushil S. Mody Md NPPES

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

SUSHIL S. MODY MD (NPI 1164481891) is an individual pediatrics provider in E Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD422414) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164481891

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSUSHIL S. MODYCredential: MD

Location Address175 E BROWN ST, SUITE 108E Stroudsburg, PA 18301-3098

Mailing Address5545 Bridle RdStroudsburg, PA 18360-9197 · (570) 793-3254 · Fax (866) 471-3154

Phone(570) 476-3585

Fax(570) 421-9014

Sole ProprietorNo

Enumeration DateMarch 21, 2006

Last NPPES UpdateFebruary 29, 2012

✔ NPI 1164481891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD422414

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.

175 E BROWN ST, E Stroudsburg, PA 18301

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Other Identifiers 2

Medicaid1009422450002PA

Medicare UPINI05198PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushil S. Mody Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 20

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

CATALINA DINU MD

Obstetrics & Gynecology

175 E BROWN ST, SUITE 108
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3401

PHILIP H. LAWRENCE MD

Obstetrics & Gynecology

175 E BROWN ST, POCONO OBSTETRICS AND GYNECOLOGY, SUITE 113
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3401

SUSHEER GANDOTRA M.D.

Internal Medicine (Infectious Disease)

175 E BROWN ST, SUITE 114
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2301

DR. MARY JANE B. TORRES M.D.

Pediatrics

175 E BROWN ST, SUITE 108
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-3585

POCONO PODIATRY ASSOCIATES

Podiatrist (Foot & Ankle Surgery)

175 E BROWN ST, SUITE 110
EAST STROUDSBURG, PA 18301

Monroe County (570) 424-1031

DR. SCOTT K KISSELL D.P.M.

Podiatrist (Foot & Ankle Surgery)

175 E BROWN ST, SUITE 110
EAST STROUDSBURG, PA 18301

Monroe County (570) 424-1031

ROSEMARIE BIGUS PA-C

Physician Assistant

175 E BROWN ST, SUITE 108
E STROUDSBURG, PA 18301

Monroe County (570) 421-3401

DR. CAROL M LATZANICH D.P.M.

Podiatrist (Primary Podiatric Medicine)

175 E BROWN ST, SUITE 110
EAST STROUDSBURG, PA 18301

Monroe County (570) 424-1031

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 Sushil Mody's NPI number?

The NPI number for Sushil Mody is 1164481891. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Sushil Mody located?

Sushil Mody practices at 175 E Brown St Suite 108, E Stroudsburg, PA 18301. The listed phone number is (570) 476-3585.

What is Sushil Mody's specialty?

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

Is Sushil Mody enrolled in Medicare?

Yes. Sushil Mody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sushil Mody was last updated on February 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.