PRADEEP MODUR M.D.
NPI 1346248515
Psychiatry & Neurology - Neurology in Austin, TX
About Pradeep Modur M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRADEEP MODUR M.D. (NPI 1346248515) is an individual neurology provider in Austin, Texas, licensed in Texas (M5841) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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
Pradeep Modur M.d. 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
7Medicare enrollment records show Pradeep Modur reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78712
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Houston, TX 77066
- Reassigned Medicare billing, Texas enrollment
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 510 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Access Telecare California PC
- 194 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, Arkansas, District of Columbia, Delaware, Georgia, Iowa, Illinois, Michigan, Montana, North Carolina, New Mexico, Pennsylvania, South Dakota, Tennessee and West Virginia enrollments
- 150 clinicians in this Medicare group
Schaumburg, IL 60173
- Reassigned Medicare billing, Illinois enrollment
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 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.
Areas of Expertise CMS Part B claims 5
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Seton Medical Center Austin
Acute Care Hospitals · Austin, TXDell Seton Med Center At The University Of Tx
Acute Care Hospitals · Austin, TXAscension Seton Williamson
Acute Care Hospitals · Round Rock, TXAscension Seton Hays
Acute Care Hospitals · Kyle, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78731 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78731
AUSTIN, TX 78731
AUSTIN, TX 78731
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 Pradeep Modur's NPI number?
The NPI number for Pradeep Modur is 1346248515. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Pradeep Modur located?
Pradeep Modur practices at 1600 W 38th St Ste 200, Austin, TX 78731. The listed phone number is (512) 324-3540.
What is Pradeep Modur's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Pradeep Modur enrolled in Medicare?
Yes. Pradeep Modur 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 Pradeep Modur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Modur reassigns Medicare benefits to 7 organizations: Seton Family Of Doctors (Austin, TX), Quantum Neurodiagnostic Physicians, PLLC (Houston, TX), Children's Physician Services Of South Texas (Corpus Christi, TX), Access Telecare California, P.C. (Dallas, TX), Access Telecare, PLLC (Dallas, TX) and 2 more organizations, listed in the Medicare section above. 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 Pradeep Modur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pradeep Modur accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Pradeep Modur 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 Pradeep Modur affiliated with any hospitals?
According to CMS data, Pradeep Modur is affiliated with Ascension Seton Medical Center Austin, Dell Seton Med Center At The University Of Tx, Ascension Seton Williamson and Ascension Seton Hays.
When was this NPI record last updated?
The NPPES record for Pradeep Modur was last updated on February 5, 2024. 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.
# Pradeep Modur, M.D. · NPI 1346248515
Neurology physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1346248515 (Entity type: Individual)
- **Enumerated:** July 12, 2005
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** M5841 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 W 38TH ST STE 200, Austin, TX 78731-6405
- **Phone:** (512) 324-3540
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Seton Family Of Doctors (NPI 1588997233, Austin, TX); Quantum Neurodiagnostic Physicians, PLLC (NPI 1255203907, Houston, TX); Children's Physician Services Of South Texas (NPI 1568658227, Corpus Christi, TX); Access Telecare California, P.C. (NPI 1861959959, Dallas, TX); Access Telecare, PLLC (NPI 1013303080, Dallas, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** February 5, 2024
- **Other identifiers:** Medicaid 64017767 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1346248515) · Data from the CMS NPPES public registry.