MODAR ALOM M.B.B.S
NPI 1346695624
Internal Medicine - Cardiovascular Disease in Plano, TX
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 Baylor Scott & White The Heart Hospital - Plano, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 3
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Modar Alom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plano, TX 75024
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
Plano, TX 75024
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Dallas, TX 75246
- Reassigned Medicare billing, Texas enrollment
- 1,054 clinicians in this Medicare group
Concord, NH 03301
- Reassigned Medicare billing, New Hampshire enrollment
- 636 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White The Heart Hospital - Plano
Acute Care Hospitals · Plano, TXBaylor Scott And White Surgical Hospital At Sherma
Acute Care Hospitals · Sherman, TXBaylor Scott And White Medical Center Mckinney
Acute Care Hospitals · Mc Kinney, TXPhysician 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.
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.
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.
Which organizations bill Medicare for Modar Alom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Modar Alom reassigns Medicare benefits to 4 organizations: Idocsweb LLC (Plano, TX), Healthtexas Provider Network (Plano, TX), Texas Oncology PA (Dallas, TX) and Concord Hospital, Inc. (Concord, NH). 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 Modar Alom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Modar Alom accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 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 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.
# Modar Alom, M.B.B.S · NPI 1346695624
Cardiovascular Disease physician in Plano, Texas. Individual provider, active in the CMS NPPES registry since April 25, 2016.
## Identity
- **NPI:** 1346695624 (Entity type: Individual)
- **Enumerated:** April 25, 2016
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** T7150 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5700 GRANITE PKWY STE 200, Plano, TX 75024-6623
- **Phone:** (618) 604-4551
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Idocsweb LLC (NPI 1386273787, Plano, TX); Healthtexas Provider Network (NPI 1124809512, Plano, TX); Texas Oncology PA (NPI 1003083445, Dallas, TX); Concord Hospital, Inc. (NPI 1194778571, Concord, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346695624) · Data from the CMS NPPES public registry.