DR. BIJAL J MODI M.D.
NPI 1285684944
Internal Medicine - Hematology & Oncology in Dallas, TX

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
8196 WALNUT HILL LN STE 100, DALLAS, TX 75231(214) 739-4175(214) 346-3541 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bijal J Modi M.d. NPPES

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

DR. BIJAL J MODI M.D. (NPI 1285684944) is an individual hematology & oncology provider in Dallas, Texas, licensed in Texas (M8846) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Dallas, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1285684944
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. BIJAL J MODICredential: M.D.
Location Address8196 WALNUT HILL LN STE 100Dallas, TX 75231-7001
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-0813
Fax(214) 346-3541
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1285684944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in TX · M8846 Licensed in IN · 01061784A
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
8196 WALNUT HILL LN STE 100, Dallas, TX 75231

Other Identifiers 5

OtherP00829938TX · Railroad Medicare
Medicaid203449801TX
Medicaid203449802TX
Other8CA991TX · Bluecross Blueshield Of Texas
Other1285684944Npi

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Bijal J 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 ID6608887187
PECOS Enrollment IDI20081219000114
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 63

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, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
12,695 services39 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
10,500 services52 patients
Injection, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
7,600 services25 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
6,700 services17 patients
Injection, paclitaxel, 1 mg J9267
Paclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
6,512 services21 patients
Injection, oxaliplatin, 0.5 mg J9263
Oxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
6,000 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers22 claims649 services$2.62 avg. paid by Medicare
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims7,824 services$0.88 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims11,665 services$0.26 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers27 claims2,303 services$0.75 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers19 claims19 services$18.87 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims14 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Physician Assistant
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231
Pharmacist (Oncology)
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231
Nurse Practitioner (Family)
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231
Pharmacy (Specialty Pharmacy)
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231
Nurse Practitioner (Family)
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231
Internal Medicine (Hematology & Oncology)
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231
Obstetrics & Gynecology (Gynecologic Oncology)
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231
Internal Medicine (Medical Oncology)
8196 WALNUT HILL LN STE 100
DALLAS, TX 75231

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 Bijal Modi's NPI number?

The NPI number for Bijal Modi is 1285684944. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Bijal Modi located?

Bijal Modi practices at 8196 Walnut Hill Ln Ste 100, Dallas, TX 75231. The listed phone number is (214) 739-4175.

What is Bijal Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Bijal Modi enrolled in Medicare?

Yes. Bijal 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.

What insurance does Bijal Modi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Bijal 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.

Is Bijal Modi affiliated with any hospitals?

According to CMS data, Bijal Modi is affiliated with Texas Health Presbyterian Hospital Dallas.

When was this NPI record last updated?

The NPPES record for Bijal Modi was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.