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SHANU MODI MD
NPI 1346211141
Internal Medicine - Medical Oncology in New York, NY

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
89.61/100
CMS Quality Rating
205 E 64TH ST, NEW YORK, NY 10021(212) 639-2000 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanu Modi Md NPPES

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

SHANU MODI MD (NPI 1346211141) is an individual medical oncology provider in New York, New York, licensed in New York (234469) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1346211141
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameSHANU MODICredential: MD
Location Address205 E 64TH STNew York, NY 10021-6635
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Phone(212) 639-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 30, 2006
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1346211141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NY · 234469
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
205 E 64TH ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI31303

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

Shanu 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 ID7810932423
PECOS Enrollment IDI20050623001006
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 2

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.
331 services145 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

89.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.89
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers44 claims3,080 services$0.72 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
2 suppliers30 claims30 services$17.65 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 suppliers14 claims14 services$12.62 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 6

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

DRS. TRUFFELMAN, INGBER & INGBER
Dentist (Prosthodontics)
205 E 64TH ST, SUITE 501
NEW YORK, NY 10021
New York County (212) 935-1220
JOE BASTADJIAN DDS
Dentist (Prosthodontics)
205 E 64TH ST, SUITE # 403
NEW YORK, NY 10021
New York County (212) 832-6440
MARY ELLEN MOYNAHAN MD
Internal Medicine (Medical Oncology)
205 E 64TH ST
NEW YORK, NY 10021
New York County (212) 639-2000
MONICA N FORNIER MD
Internal Medicine (Medical Oncology)
205 E 64TH ST
NEW YORK, NY 10021
New York County (212) 639-2000
MAURA N DICKLER MD
Internal Medicine (Medical Oncology)
205 E 64TH ST
NEW YORK, NY 10021
New York County (212) 639-2000
MS. ELEONORA JOHANNA WALCZAK RPA-C
Physician Assistant (Surgical)
205 E 64TH ST, SUITE 402
NEW YORK, NY 10021
New York County (212) 759-4460

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 Shanu Modi's NPI number?

The NPI number for Shanu Modi is 1346211141. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Shanu Modi located?

Shanu Modi practices at 205 E 64th St, New York, NY 10021. The listed phone number is (212) 639-2000.

What is Shanu Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Shanu Modi enrolled in Medicare?

Yes. Shanu 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.

When was this NPI record last updated?

The NPPES record for Shanu Modi was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.