DR. TEJAL MODY M.D.
NPI 1417110461
Radiology - Pediatric Radiology in Glen Mills, PA

Q: What is Tejal Mody's NPI number?

The NPI number for Tejal Mody is 1417110461. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Q: What is Tejal Mody's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Tejal Mody was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment

101 APPLIED BANK BLVD STE 11, NEMOURS DUPONT PEDIATRICS, GLEN MILLS, GLEN MILLS, PA 19342(484) 800-8630(484) 800-8635 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2017, May 17, 2016 (2 updates tracked since 2016).

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About Dr. Tejal Mody M.d. NPPES

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

DR. TEJAL MODY M.D. (NPI 1417110461) is an individual pediatric radiology provider in Glen Mills, Pennsylvania, licensed in Pennsylvania (MD459411) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417110461

Entity TypeIndividualFemale

Primary Taxonomy2085P0229X

Provider Legal NameDR. TEJAL MODYCredential: M.D.

Location Address101 APPLIED BANK BLVD STE 11, NEMOURS DUPONT PEDIATRICS, GLEN MILLSGlen Mills, PA 19342-3501

Mailing AddressPo Box 191, Provider Enrollment DepartmentRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945

Phone(484) 800-8630

Fax(484) 800-8635

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 9, 2008

Last NPPES UpdateFebruary 23, 20172 updates tracked since enumeration

✔ NPI 1417110461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

Licenses✔ Licensed in PA · MD459411✔ Licensed in DE · C10011787✔ Licensed in NJ · 25MA10023300✔ Licensed in FL · ME118748

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License ME118748 (FL), P7163 (TX)

101 APPLIED BANK BLVD STE 11, Glen Mills, PA 19342

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Other Identifiers 3

Medicare PINHX185XFL

Medicare PINHX185ZFL

Medicare PINHX185YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health.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. Tejal Mody M.d. 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 ID2264675529

PECOS Enrollment IDI20140919002264, I20170526000513

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 Reassignment

Medicare enrollment records show Tejal Mody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation

6.8 mi

Clinic/Center

1801 ROCKLAND RD
Wilmington, DE 19803

Reassigned Medicare billing, Delaware and Florida enrollments
Also billed through NPI 1265585806 (Florida)
526 clinicians in this Medicare group

NPI 1811034630 (302) 651-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

SHANNON DOYLE TIEDEKEN MD

Pediatrics

101 APPLIED BANK BLVD STE 11, NEMOURS DUPONT PEDIATRICS, GLEN MILLS URGENT CARE
GLEN MILLS, PA 19342

Delaware County (484) 800-8630

DR. KAI ADIA TURNER DO

Pediatrics

101 APPLIED BANK BLVD STE 11
GLEN MILLS, PA 19342

Delaware County (484) 800-8630

MS. JACLYN MARIE DEMATTEIS PA-C

Physician Assistant

101 APPLIED BANK BLVD STE 11
GLEN MILLS, PA 19342

Delaware County (484) 800-8630

MARISA RIVERSO MD

Pediatrics (Pediatric Emergency Medicine)

101 APPLIED BANK BLVD STE 11
GLEN MILLS, PA 19342

Delaware County (484) 800-8630

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 Tejal Mody's NPI number?

The NPI number for Tejal Mody is 1417110461. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Tejal Mody located?

Tejal Mody practices at 101 Applied Bank Blvd Ste 11 Nemours Dupont Pediatrics, Glen Mills, Glen Mills, PA 19342. The listed phone number is (484) 800-8630.

What is Tejal Mody's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Tejal Mody enrolled in Medicare?

Yes. Tejal Mody 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 Tejal Mody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tejal Mody reassigns Medicare benefits to The Nemours Foundation (Wilmington, DE). 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 Tejal Mody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tejal Mody accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health list Tejal Mody 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 Tejal Mody was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.