URVIJ MAHENDRAKUMAR MODHIA MD
NPI 1295002780
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Albuquerque, NM

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
UNIVERSITY OF NEW MEXICO, DEPT. OF ORTHOPEDICS, 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131(505) 272-4107 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 26, 2024, Jul 17, 2024, Jul 14, 2023 (3 updates tracked since 2023).

About Urvij Mahendrakumar Modhia Md NPPES

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

URVIJ MAHENDRAKUMAR MODHIA MD (NPI 1295002780) is an individual orthopaedic surgery of the spine provider in Albuquerque, New Mexico, licensed in New Mexico (MD 2014-0017) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295002780
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameURVIJ MAHENDRAKUMAR MODHIACredential: MD
Location AddressUNIVERSITY OF NEW MEXICO, DEPT. OF ORTHOPEDICS, 2211 LOMAS BLVD NEAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 272-8060
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 28, 2011
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1295002780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in NM · MD 2014-0017
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD 2014-0017 (NM)
UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

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

Urvij Mahendrakumar Modhia Md 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 ID2163651597
PECOS Enrollment IDI20141110000920
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 4

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.

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.
45 services36 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.
18 services14 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.
15 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 15

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

Internal Medicine
UNIVERSITY OF NEW MEXICO, 1 UNIVERSITY OF NEW MEXICO MSC 5550
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF NEW MEXICO, DEPT OF PSYCHIATRY & BEHAVIORAL SCIENCES MSC09-5030
ALBUQUERQUE, NM 87131
Obstetrics & Gynecology (Obstetrics)
UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Psychiatry & Neurology (Psychosomatic Medicine)
UNIVERSITY OF NEW MEXICO, 2600 MARBLE AVE NE
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Specialist/Technologist (Athletic Trainer)
UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Urvij Modhia's NPI number?

The NPI number for Urvij Modhia is 1295002780. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Urvij Modhia located?

Urvij Modhia practices at University Of New Mexico Dept. Of Orthopedics, 2211 Lomas Blvd NE, Albuquerque, NM 87131. The listed phone number is (505) 272-4107.

What is Urvij Modhia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Urvij Modhia enrolled in Medicare?

Yes. Urvij Modhia 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.

Is Urvij Modhia affiliated with any hospitals?

According to CMS data, Urvij Modhia is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Urvij Modhia was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.