NILI MODI MD
NPI 1356144406
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 31, 2025PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nili Modi Md NPPES

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

NILI MODI MD (NPI 1356144406) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356144406
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameNILI MODICredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1356144406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nili Modi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
2799 W GRAND BLVD, MEDICAL GENETICS CFP-4
DETROIT, MI 48202
Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Anesthesiology
2799 W GRAND BLVD
DETROIT, MI 48202
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Internal Medicine
2799 W GRAND BLVD, K-17
DETROIT, MI 48202
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Infectious Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, DEPT OF DIAGNOSTIC RADIOLOGY
DETROIT, MI 48202
Psychiatry & Neurology (Psychiatry)
2799 W GRAND BLVD, DEPARTMENT OF BEHAVORIAL HEALTH
DETROIT, MI 48202
Ophthalmology
2799 W GRAND BLVD, EYE CARE SERVICES
DETROIT, MI 48202
Orthopaedic Surgery
2799 W GRAND BLVD, DEPARTMENT OF ORTHOPAEDIC SURGERY CFP-6
DETROIT, MI 48202
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2799 W GRAND BLVD, FIRST FLOOR
DETROIT, MI 48202
Ophthalmology
2799 W GRAND BLVD, HENRY FORD HOSPITAL, K-10
DETROIT, MI 48202
Social Worker (Clinical)
2799 W GRAND BLVD, K-16
DETROIT, MI 48202
Internal Medicine
2799 W GRAND BLVD, DEPARTMENT OF INTERNAL MEDICINE
DETROIT, MI 48202
Internal Medicine (Gastroenterology)
2799 W GRAND BLVD, DEPARTMENT OF GASTROENTEROLOGY
DETROIT, MI 48202
Anesthesiology
2799 W GRAND BLVD, DEPARTMENT OF ANESTHESIOLOGY
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, DEPARTMENT OF DIAGNOSTIC RADIOLOGY
DETROIT, MI 48202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356144406, enumerated as an "individual" on March 31, 2025.

The provider is located at 2799 W GRAND BLVD DETROIT, MI 48202 and the phone number is (313) 916-2600.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.