ASHESH I MODI M.D.
NPI 1174674816
Specialist in Newark, DE

Q: What is Ashesh Modi's NPI number?

The NPI number for Ashesh Modi is 1174674816. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Ashesh Modi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Ashesh Modi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment

4745 OGLETOWN STANTON RD, MAP #1, NEWARK, DE 19713(302) 738-5300(302) 731-4822 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ashesh I Modi M.d. NPPES

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

ASHESH I MODI M.D. (NPI 1174674816) is an individual specialist in Newark, Delaware, licensed in Delaware (C10005584) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1993).

NPPES Registry Identity

NPI1174674816

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameASHESH I MODICredential: M.D.

Location Address4745 OGLETOWN STANTON RD, MAP #1Newark, DE 19713-2067

Mailing Address4745 Ogletown Stanton Rd, Map #1Newark, DE 19713-2067 · (302) 738-5300 · Fax (302) 731-4822

Phone(302) 738-5300

Fax(302) 731-4822

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1993

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174674816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in DE · C10005584

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4745 OGLETOWN STANTON RD, Newark, DE 19713

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Other Identifiers 3

Medicaid000944101DE

Medicare ID-Type Unspecified003307G56DE

Medicare UPING19292

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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

Ashesh I Modi M.d. 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 ID3274438783

PECOS Enrollment IDI20100916000005

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 Reassignments

Medicare enrollment records show Ashesh Modi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delaware Center For Digestive Care LLC

Same address

Gastroenterology

4745 OGLETOWN STANTON RD STE 134
Newark, DE 19713

Reassigned Medicare billing, Delaware enrollment
104 clinicians in this Medicare group

NPI 1558722561 (302) 738-5300

Christiana Care Health Services Inc

0.2 mi

Gastroenterology

4755 OGLETOWN STANTON RD, CHRISTIANA HOSPITAL
Newark, DE 19718

Reassigned Medicare billing, Delaware enrollment
29 clinicians in this Medicare group

NPI 1487083069 (302) 733-1000

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

Areas of Expertise CMS Part B claims 14

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, vedolizumab, intravenous, 1 mg J3380

Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.

8,400 services22 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.

122 services121 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

104 services104 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.

94 services84 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

88 services88 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

75 services75 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.

75 services69 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

74 services74 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

46 services46 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.

31 services31 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

29 services23 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

13 services12 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

11 services11 patients

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.

GABRIELLA LYNN ZACCONE

Physician Assistant

4745 OGLETOWN STANTON RD
NEWARK, DE 19713

New Castle County (302) 744-9645

TODD T MILLER PA C

Physician Assistant (Surgical)

4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713

New Castle County (302) 731-2888

GORDON J OSTRUM JR. M.D.

Obstetrics & Gynecology

4745 OGLETOWN STANTON RD, SUITE 106
NEWARK, DE 19713

New Castle County (302) 454-9800

BONNIE O OCONNOR PA C

Physician Assistant (Surgical)

4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713

New Castle County (302) 731-2888

PAULETTE HAWS NP

Nurse Practitioner (Neonatal)

4745 OGLETOWN STANTON RD, SUITE 217
NEWARK, DE 19713

New Castle County (302) 733-4387

DR. BERNARD HAIMOWITZ M.D.

Specialist

4745 OGLETOWN STANTON RD
NEWARK, DE 19713

New Castle County (302) 738-5300

FAITH A, BROSCH M.D,

Obstetrics & Gynecology

4745 OGLETOWN STANTON RD, MAP1, SUITE 207
NEWARK, DE 19713

New Castle County (302) 368-9000

ROBERT G LOCKE DO

Pediatrics (Neonatal-Perinatal Medicine)

4745 OGLETOWN STANTON RD, SUITE 217 MEDICAL ARTS PAVILION ONE
NEWARK, DE 19713

New Castle County (302) 733-2374

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 Ashesh Modi's NPI number?

The NPI number for Ashesh Modi is 1174674816. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Ashesh Modi located?

Ashesh Modi practices at 4745 Ogletown Stanton Rd Map #1, Newark, DE 19713. The listed phone number is (302) 738-5300.

What is Ashesh Modi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ashesh Modi enrolled in Medicare?

Yes. Ashesh 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.

Which organizations bill Medicare for Ashesh Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashesh Modi reassigns Medicare benefits to 2 organizations: Delaware Center For Digestive Care LLC (Newark, DE) and Christiana Care Health Services Inc (Newark, DE). Each 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 Ashesh Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashesh Modi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Ashesh 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.

When was this NPI record last updated?

The NPPES record for Ashesh Modi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.