SAGAR M MODH
NPI 1295559102
Nurse Practitioner - Family in Somerset, NJ
About Sagar M Modh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAGAR M MODH (NPI 1295559102) is an individual family provider in Somerset, New Jersey, licensed in New Jersey (26NJ15204200) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sagar M Modh 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sagar Modh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paterson, NJ 07514
- Reassigned Medicare billing, New Jersey enrollment
- 19 clinicians in this Medicare group
Manasquan, NJ 08736
- Reassigned Medicare billing, New Jersey enrollment
- 7 clinicians in this Medicare group
Toms River, NJ 08755
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Promed Preferred Nj, PC
- 18 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sagar Modh's NPI number?
The NPI number for Sagar Modh is 1295559102. It was assigned to this individual provider in the NPPES registry on November 8, 2024.
Where is Sagar Modh located?
Sagar Modh practices at 15 Hopkinson Ln, Somerset, NJ 08873. The listed phone number is (732) 491-7312.
What is Sagar Modh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sagar Modh enrolled in Medicare?
Yes. Sagar Modh 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.
Which organizations bill Medicare for Sagar Modh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sagar Modh reassigns Medicare benefits to 3 organizations: Bastidas Plastic Surgery, PC (Paterson, NJ), Jersey Med Well (Manasquan, NJ) and Promed Preferred Nj P.C. (Toms River, NJ). 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 Sagar Modh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sagar Modh was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Sagar M Modh · NPI 1295559102
Family physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since November 8, 2024.
## Identity
- **NPI:** 1295559102 (Entity type: Individual)
- **Enumerated:** November 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15204200 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15 HOPKINSON LN, Somerset, NJ 08873-7460
- **Phone:** (732) 491-7312
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bastidas Plastic Surgery, PC (NPI 1053724674, Paterson, NJ); Jersey Med Well (NPI 1356133409, Manasquan, NJ); Promed Preferred Nj P.C. (NPI 1578327722, Toms River, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295559102) · Data from the CMS NPPES public registry.