KRUPA MODI APRN
NPI 1407553464
Nurse Practitioner - Family in Middletown, CT
About Krupa Modi Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRUPA MODI APRN (NPI 1407553464) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (11365) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Krupa Modi Aprn 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 Reassignment
Medicare enrollment records show Krupa Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06457 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
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 Krupa Modi's NPI number?
The NPI number for Krupa Modi is 1407553464. It was assigned to this individual provider in the NPPES registry on February 10, 2023.
Where is Krupa Modi located?
Krupa Modi practices at 420 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 636-2010.
What is Krupa Modi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Krupa Modi enrolled in Medicare?
Yes. Krupa 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 organization bills Medicare for Krupa Modi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krupa Modi reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). The 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 Krupa Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krupa Modi accept?
Health plans from Anthem Blue Cross and Blue Shield list Krupa 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.
When was this NPI record last updated?
The NPPES record for Krupa Modi was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Krupa Modi, APRN · NPI 1407553464
Family physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since February 10, 2023.
## Identity
- **NPI:** 1407553464 (Entity type: Individual)
- **Enumerated:** February 10, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11365 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 SAYBROOK RD, Middletown, CT 06457-4859
- **Phone:** (860) 636-2010
## 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:** Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407553464) · Data from the CMS NPPES public registry.