PAYAL K. MODI MD
NPI 1306166301
Emergency Medicine in Worcester, MA
About Payal K. Modi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAYAL K. MODI MD (NPI 1306166301) is an individual emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (258647) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Baylor College Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Payal K. Modi 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.
Areas of Expertise CMS Part B claims
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emerson Hospital -
Acute Care Hospitals · W Concord, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Payal Modi's NPI number?
The NPI number for Payal Modi is 1306166301. It was assigned to this individual provider in the NPPES registry on June 2, 2010.
Where is Payal Modi located?
Payal Modi practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 421-1400.
What is Payal Modi's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Payal Modi enrolled in Medicare?
Yes. Payal 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.
Is Payal Modi affiliated with any hospitals?
According to CMS data, Payal Modi is affiliated with Emerson Hospital - and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Payal Modi was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Payal K. Modi, MD · NPI 1306166301
Emergency Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since June 2, 2010.
## Identity
- **NPI:** 1306166301 (Entity type: Individual)
- **Enumerated:** June 2, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 258647 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 421-1400 · **Fax:** (508) 421-1490
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Baylor College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** August 30, 2023
- **Other identifiers:** Medicaid 110100054A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306166301) · Data from the CMS NPPES public registry.