DR. SANJIV S MODI MD
NPI 1396730909
Internal Medicine - Hematology & Oncology in Michigan City, IN

Q: What is Sanjiv Modi's NPI number?

The NPI number for Sanjiv Modi is 1396730909. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Sanjiv Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Sanjiv Modi was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment

8955 W 400 N, MICHIGAN CITY, IN 46360(219) 861-5800(219) 861-5543 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Jul 16, 2024, Jul 18, 2023 and 1 more (4 updates tracked since 2021).

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About Dr. Sanjiv S Modi Md NPPES

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

DR. SANJIV S MODI MD (NPI 1396730909) is an individual hematology & oncology provider in Michigan City, Indiana, licensed in Indiana (01093925A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396730909

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. SANJIV S MODICredential: MD

Location Address8955 W 400 NMichigan City, IN 46360-9330

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 861-5800

Fax(219) 861-5543

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateSeptember 20, 2005

Last NPPES UpdateOctober 6, 20254 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1396730909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in IN · 01093925A✔ Licensed in IL · 036093810✔ Licensed in AZ · 78356

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

8955 W 400 N, Michigan City, IN 46360

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Secondary Practice Locations 2

Location 12614 W Jefferson StJoliet, IL 60435-6433 · Phone (815) 725-1355 · Fax (815) 725-9857

Location 22375 S Ridgeview DrYuma, AZ 85364-8868 · Phone (928) 317-2518 · Fax (928) 317-1811

Other Identifiers 4

Other830007251IL · Medicare Rr

Medicaid036093810IL

OtherL77781IL · Medicare Indiv Id# For Group 336140

OtherL98056IL · Medicare Indiv Id# For Group 205474

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

Dr. Sanjiv S 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 ID3274502570

PECOS Enrollment IDI20240801002419, I20251023003600

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

97 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 7

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

ALLISON ELISE KINDER ANP-BC

Nurse Practitioner