VIVEK AMIT MODI MD
NPI 1316468812
Internal Medicine - Cardiovascular Disease in Augusta, GA

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901(706) 724-8611 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Vivek Amit Modi Md NPPES

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

VIVEK AMIT MODI MD (NPI 1316468812) is an individual cardiovascular disease provider in Augusta, Georgia, licensed in Georgia (100983) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316468812
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVIVEK AMIT MODICredential: MD
Location Address1348 WALTON WAY STE 5100Augusta, GA 30901-5108
Mailing Address1348 Walton Way Ste 5100Augusta, GA 30901-5108 · (706) 724-8611
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 5, 2017
Last NPPES UpdateJuly 11, 20254 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1316468812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 100983
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1348 WALTON WAY STE 5100, Augusta, GA 30901

Secondary Practice Locations 2

Location 11000 10th AveNew York, NY 10019-1147 · Phone (646) 920-8952
Location 21111 Amsterdam AveNew York, NY 10025-1716 · Phone (646) 920-8952

Accepted Insurance

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

Vivek Amit 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.

PECOS PAC ID1153667449
PECOS Enrollment IDI20250306001941
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.

Medicare Billing Reassignment

Medicare enrollment records show Vivek Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
275 COLLIER ROAD, SUITE 300
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 539 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.

Hospital Affiliations CMS Care Compare 5

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Interventional Cardiology)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Nurse Practitioner (Family)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Physician Assistant
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Physician Assistant
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY STE 5100
AUGUSTA, GA 30901

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 Vivek Modi's NPI number?

The NPI number for Vivek Modi is 1316468812. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Vivek Modi located?

Vivek Modi practices at 1348 Walton Way Ste 5100, Augusta, GA 30901. The listed phone number is (706) 724-8611.

What is Vivek Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Vivek Modi enrolled in Medicare?

Yes. Vivek 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.

Which organization bills Medicare for Vivek Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivek Modi reassigns Medicare benefits to Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA). The 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 Vivek Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivek Modi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Vivek 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 Vivek Modi affiliated with any hospitals?

According to CMS data, Vivek Modi is affiliated with Piedmont Augusta Hospital, Au Medical Center, University Mcduffie County Regional Medical Center, Doctors Hospital and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vivek Modi was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.