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DR. PRATIBHA MODI MD
NPI 1184614349
Internal Medicine in Southfield, MI

Active since October 27, 2005
16800 W 12 MILE RD, STE 205, SOUTHFIELD, MI 48076(248) 559-0900(248) 559-0011 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pratibha Modi Md NPPES

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

DR. PRATIBHA MODI MD (NPI 1184614349) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4301043398) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1184614349
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRATIBHA MODICredential: MD
Location Address16800 W 12 MILE RD, STE 205Southfield, MI 48076-2108
Mailing Address16800 W 12 Mile Rd, Ste 205Southfield, MI 48076-2108 · (248) 559-0900 · Fax (248) 559-0011
Phone(248) 559-0900
Fax(248) 559-0011
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1184614349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301043398
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16800 W 12 MILE RD, Southfield, MI 48076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%1,324 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
55%29 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
39%368 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
52%368 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%368 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

DR. GERARD MITCHELL HOUSEY M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
16800 W 12 MILE RD, SUITE 201
SOUTHFIELD, MI 48076
Oakland County (248) 663-7000
DR. STEVEN B.H. TIMMIS M.D.
Internal Medicine (Interventional Cardiology)
16800 W 12 MILE RD, SUITE 102
SOUTHFIELD, MI 48076
Oakland County (248) 569-9797
DR. PETER A LIPSON MD
Internal Medicine
16800 W 12 MILE RD, STE 100
SOUTHFIELD, MI 48076
Oakland County (248) 483-5300
DR. MONICA LEWIS D.D.S.
Dentist (General Practice)
16800 W 12 MILE RD, SUITE 103
SOUTHFIELD, MI 48076
Oakland County (248) 443-5371
AMY PARKER DDS
Dentist (Pediatric Dentistry)
16800 W 12 MILE RD, SUITE 101
SOUTHFIELD, MI 48076
Oakland County (248) 423-9800
SOUTHFIELD INTERNISTS PC
Internal Medicine
16800 W 12 MILE RD, STE 205
SOUTHFIELD, MI 48076
Oakland County (248) 559-0900
MAEGAN ELIZABETH DAUGHTERY DDS
Dentist (Pediatric Dentistry)
16800 W 12 MILE RD, SUITE 101
SOUTHFIELD, MI 48076
Oakland County (248) 423-9800

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 Pratibha Modi's NPI number?

The NPI number for Pratibha Modi is 1184614349. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Pratibha Modi located?

Pratibha Modi practices at 16800 W 12 Mile Rd Ste 205, Southfield, MI 48076. The listed phone number is (248) 559-0900.

What is Pratibha Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Pratibha Modi accept?

Health plans from McLaren Health Plan Community list Pratibha 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 Pratibha Modi was last updated on October 22, 2020. 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.