1. Home
  2. Directory
  3. Indiana
  4. Michigan City
  5. Internal Medicine
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12375 S Ridgeview DrYuma, AZ 85364-8868 · Phone (928) 317-2518 · Fax (928) 317-1811
Location 22614 W Jefferson StJoliet, IL 60435-6433 · Phone (815) 725-1355 · Fax (815) 725-9857

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sanjiv Modi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Franciscan Physician Network
34 mi
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1366879009 (574) 254-6253
Union Associated Physicians Clinic, LLC
155 mi
Family Medicine
221 S 6TH ST
Terre Haute, IN 47807
  • Reassigned Medicare billing, Indiana enrollment
  • 306 clinicians in this Medicare group
NPI 1891028379 (812) 232-0564
Reid Physician Associates, Inc.
162 mi
Internal Medicine
1100 REID PKWY
Richmond, IN 47374
  • Reassigned Medicare billing, Indiana enrollment
  • 527 clinicians in this Medicare group
NPI 1265689111 (765) 983-3127
Yuma Regional Medical Center
1,644 mi
General Acute Care Hospital
2400 S AVE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 557 clinicians in this Medicare group
NPI 1194706655 (928) 344-2000

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.

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
8955 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (219) 861-5544
MS. MALAVIKA PRASEED MCGRAIL LCGC
Genetic Counselor, MS
8955 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (219) 861-5800
JACQUELINE JOHNSON PA-C
Physician Assistant
8955 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (219) 861-5800
MESHAAL KHAN
Internal Medicine (Hematology & Oncology)
8955 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (219) 861-5800
DR. WILLIAM HAN BAE MD
Internal Medicine (Hematology & Oncology)
8955 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (219) 861-5800
SAMI ATASSI MD
Internal Medicine (Hematology & Oncology)
8955 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (219) 861-5800
ALICIA S ROTHCHILD APRN, FNP-BC, NP-C
Nurse Practitioner (Family)
8955 W 400 N
MICHIGAN CITY, IN 46360
Laporte County (219) 861-5800

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 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.

Where is Sanjiv Modi located?

Sanjiv Modi practices at 8955 W 400 N, Michigan City, IN 46360. The listed phone number is (219) 861-5800.

What is Sanjiv Modi's specialty?

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

Is Sanjiv Modi enrolled in Medicare?

Yes. Sanjiv Modi 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 Sanjiv Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjiv Modi reassigns Medicare benefits to 4 organizations: Franciscan Physician Network (Mishawaka, IN), Union Associated Physicians Clinic, LLC (Terre Haute, IN), Reid Physician Associates, Inc. (Richmond, IN) and Yuma Regional Medical Center (Yuma, AZ). 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 Sanjiv Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjiv Modi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Arizona and 3 other insurers list Sanjiv Modi 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 Sanjiv Modi affiliated with any hospitals?

According to CMS data, Sanjiv Modi is affiliated with Franciscan Health Michigan City, Union Hospital Inc and Reid Health.

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 12 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.