SITAL MODY MD
NPI 1265571251
Internal Medicine in Raleigh, NC
About Sital Mody Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SITAL MODY MD (NPI 1265571251) is an individual internal medicine provider in Raleigh, North Carolina, licensed in North Carolina (2007-00788) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - North Las Vegas, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sital Mody Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Sital Mody reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rocky Mount, NC 27804
- Reassigned Medicare billing, North Carolina enrollment
- 393 clinicians in this Medicare group
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 254 clinicians in this Medicare group
Murphy, NC 28906
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: 24 On Physicians PC
- 41 clinicians in this Medicare group
West Grove, PA 19390
- Reassigned Medicare billing, Pennsylvania enrollment
- 29 clinicians in this Medicare group
The Woodlands, TX 77381
- Reassigned Medicare billing, Wisconsin enrollment
- 27 clinicians in this Medicare group
Oklahoma City, OK 73162
- Reassigned Medicare billing, Oklahoma enrollment
- 30 clinicians in this Medicare group
San Antonio, TX 78232
- Reassigned Medicare billing, Texas enrollment
- 32 clinicians in this Medicare group
North Las Vegas, NV 89032
- Reassigned Medicare billing, Nevada enrollment
- 33 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Rose Dominican Hospitals - North Las Vegas
Acute Care Hospitals · North Las Vegas, NVBaylor Emergency Medical Center At Aubrey
Acute Care Hospitals · Aubrey, TXBaptist Neighborhood Hospital Thousand Oaks
Acute Care Hospitals · San Antonio, TXThe Hospitals Of Providence Horizon City Campus
Acute Care Hospitals · Horizon City, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Sital Mody's NPI number?
The NPI number for Sital Mody is 1265571251. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Sital Mody located?
Sital Mody practices at 400 W North St #1226, Raleigh, NC 27603. The listed phone number is (919) 602-0229.
What is Sital Mody's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sital Mody enrolled in Medicare?
Yes. Sital Mody is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sital Mody's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sital Mody reassigns Medicare benefits to 8 organizations: Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC), Hospitalist Medicine Physicians Of North Carolina PLLC (Greensboro, NC), 24 On Physicians, P.C. (Murphy, NC), Emerus Pennsylvania Inpatient Providers PLLC (West Grove, PA), Emerus Inpatient Providers Sc (The Woodlands, TX) and 3 more organizations, listed in the Medicare section above. 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 Sital Mody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sital Mody accept?
Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Sital Mody 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 Sital Mody affiliated with any hospitals?
According to CMS data, Sital Mody is affiliated with Saint Rose Dominican Hospitals - North Las Vegas, Baylor Emergency Medical Center At Aubrey, Baptist Neighborhood Hospital Thousand Oaks and The Hospitals Of Providence Horizon City Campus.
When was this NPI record last updated?
The NPPES record for Sital Mody was last updated on March 18, 2021. 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.
# Sital Mody, MD · NPI 1265571251
Internal Medicine physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1265571251 (Entity type: Individual)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2007-00788 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 W NORTH ST, #1226, Raleigh, NC 27603-1560
- **Phone:** (919) 602-0229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Cogent Healthcare Of North Carolina, PC (NPI 1548207483, Rocky Mount, NC); Hospitalist Medicine Physicians Of North Carolina PLLC (NPI 1164724902, Greensboro, NC); 24 On Physicians, P.C. (NPI 1912956780, Murphy, NC); Emerus Pennsylvania Inpatient Providers PLLC (NPI 1700676434, West Grove, PA); Emerus Inpatient Providers Sc (NPI 1881365609, The Woodlands, TX); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265571251) · Data from the CMS NPPES public registry.