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MODAR ALOM M.B.B.S
NPI 1346695624
Internal Medicine - Cardiovascular Disease in Plano, TX

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
5700 GRANITE PKWY STE 200, PLANO, TX 75024(618) 604-4551 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 25, 2025, Aug 16, 2022, Jul 23, 2019 (3 updates tracked since 2019).

About Modar Alom M.b.b.s NPPES

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

MODAR ALOM M.B.B.S (NPI 1346695624) is an individual cardiovascular disease provider in Plano, Texas, licensed in Texas (T7150) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346695624
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMODAR ALOMCredential: M.B.B.S
Location Address5700 GRANITE PKWY STE 200Plano, TX 75024-6623
Mailing Address1500 Preston Rd Apt 2513Plano, TX 75093-5133 · (516) 643-8781
Phone(618) 604-4551
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 25, 2016
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1346695624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in TX · T7150✔ Licensed in NH · 35068
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License T7150 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License 35.135447 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5700 GRANITE PKWY STE 200, Plano, TX 75024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and more.Insurance ›

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

Modar Alom M.b.b.s 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 ID3274823554
PECOS Enrollment IDI20220804003864, I20250730000120
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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
397 services216 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 2

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

RIOS NEUROPSYCHOLOGY, PLLC
Psychologist (Clinical)
5700 GRANITE PKWY STE 200
PLANO, TX 75024
Collin County (469) 588-2587
IDOCSWEB LLC
Internal Medicine
5700 GRANITE PKWY STE 200
PLANO, TX 75024
Collin County (636) 221-2740

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 Modar Alom's NPI number?

The NPI number for Modar Alom is 1346695624. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Modar Alom located?

Modar Alom practices at 5700 Granite Pkwy Ste 200, Plano, TX 75024. The listed phone number is (618) 604-4551.

What is Modar Alom's specialty?

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

Is Modar Alom enrolled in Medicare?

Yes. Modar Alom 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.

What insurance does Modar Alom accept?

Health plans from Ambetter from NH Healthy Families, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CareSource list Modar Alom 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 Modar Alom affiliated with any hospitals?

According to CMS data, Modar Alom is affiliated with Concord Hospital, Baylor Scott & White The Heart Hospital - Plano, Baylor Scott And White Surgical Hospital At Sherma and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Modar Alom was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.