Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NISHTHA RAJENDRA MODI MD
NPI 1396205589
Internal Medicine in Morgantown, WV

Q: What is Nishtha Modi's NPI number?

The NPI number for Nishtha Modi is 1396205589. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Q: What is Nishtha Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nishtha Modi was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

1200 J D ANDERSON DR, MORGANTOWN, WV 26505(304) 598-1200(304) 598-1699 Get Directions Write a Review

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

Record update history: Feb 14, 2023, Apr 14, 2022, Oct 22, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Nishtha Rajendra Modi Md NPPES

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

NISHTHA RAJENDRA MODI MD (NPI 1396205589) is an individual internal medicine provider in Morgantown, West Virginia, licensed in West Virginia (30595) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and is a graduate of West Virginia University School Of Medicine (2018).

NPPES Registry Identity

NPI1396205589

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNISHTHA RAJENDRA MODICredential: MD

Location Address1200 J D ANDERSON DRMorgantown, WV 26505-3494

Mailing Address1200 J D Anderson DrMorgantown, WV 26505-3494 · (304) 598-1200 · Fax (304) 598-1699

Phone(304) 598-1200

Fax(304) 598-1699

Sole ProprietorYes

Medical School CMSWest Virginia University School Of MedicineGraduated 2018

Enumeration DateMarch 22, 2019

Last NPPES UpdateJune 24, 20264 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1396205589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WV · 30595

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1200 J D ANDERSON DR, Morgantown, WV 26505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Nishtha Rajendra 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 ID446648265

PECOS Enrollment IDI20211028000872

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.

Hospital Affiliations CMS Care Compare

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

FILIP IONESCU MD

Internal Medicine (Hematology & Oncology)