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SITAL MODY MD
NPI 1265571251
Internal Medicine in Raleigh, NC

Active since February 06, 2007PECOS Enrolled
400 W NORTH ST, #1226, RALEIGH, NC 27603(919) 602-0229 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1265571251
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSITAL MODYCredential: MD
Location Address400 W NORTH ST, #1226Raleigh, NC 27603-1560
Mailing Address400 W North St, #1226Raleigh, NC 27603-1560 · (919) 602-0229
Phone(919) 602-0229
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1265571251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2007-00788✔ Licensed in NM · 2002R82
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.
400 W NORTH ST, Raleigh, NC 27603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6002909397
PECOS Enrollment IDI20210210003411, I20210211002794, I20220527000824, I20220531002063, I20260127003779
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 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 discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services88 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services53 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services31 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.
26 services20 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.
24 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

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, NV
OwnershipProprietary
CMS Certification Number290058
Location1550 W Craig RanchNorth Las Vegas, NV 89031 · Clark County
Emergency services

Baylor Emergency Medical Center At Aubrey

Acute Care Hospitals · Aubrey, TX
OwnershipProprietary
CMS Certification Number670062
Location26791 Highway 380Aubrey, TX 76227 · Denton County
Emergency services

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

The Hospitals Of Providence Horizon City Campus

Acute Care Hospitals · Horizon City, TX
OwnershipProprietary
CMS Certification Number670124
Location13600 Horizon Street, Suite 100Horizon City, TX 79928 · El Paso County
Emergency services

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%169 patients4/55-star benchmark: 100%
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$15.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$68.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

What insurance does Sital Mody accept?

Health plans from Blue Cross and Blue Shield of Texas 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.