DR. RONAK S MODI M.D.
NPI 1417283219
Internal Medicine - Gastroenterology in Fountain Hill, PA

Q: What is Ronak Modi's NPI number?

The NPI number for Ronak Modi is 1417283219. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Q: What is Ronak Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Ronak Modi was last updated on November 17, 2016. 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 October 29, 2009PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

701 OSTRUM ST, SUITE 201, FOUNTAIN HILL, PA 18015(484) 526-6545(484) 526-6546 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2016, May 13, 2016 (2 updates tracked since 2016).

On this page

About Dr. Ronak S Modi M.d. NPPES

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

DR. RONAK S MODI M.D. (NPI 1417283219) is an individual gastroenterology provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MD454591) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417283219

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. RONAK S MODICredential: M.D.

Location Address701 OSTRUM ST, SUITE 201Fountain Hill, PA 18015-1155

Mailing Address701 Ostrum St, Suite 201Fountain Hill, PA 18015-1155 · (484) 526-6545 · Fax (484) 526-6546

Phone(484) 526-6545

Fax(484) 526-6546

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 29, 2009

Last NPPES UpdateNovember 17, 20162 updates tracked since enumeration

✔ NPI 1417283219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD454591

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

701 OSTRUM ST, Fountain Hill, PA 18015

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Other Identifiers 2

Medicare PIN413265PA

Medicaid103016310PA

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. Ronak S Modi 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 ID5991026718

PECOS Enrollment IDI20150605000364

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 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services84 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

87 services87 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

80 services79 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

77 services76 patients

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.

77 services60 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.

46 services45 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

34 services34 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

33 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services29 patients

Prolonged monitoring and recording of esophageal function through nasal tube with electrode 91038

This procedure involves the insertion of a thin, flexible tube through the nose into the esophagus. An electrode on the tube records esophageal activity over an extended period, helping to identify any functional issues.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services22 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

20 services19 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

16 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

95.64/100

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

Scored through an Alternative Payment Model

Quality

80.57

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.

BREANNA LITTLE

Physician Assistant

701 OSTRUM ST, SUITE 302
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-6000

DR. STEPHEN ANTHONY OLENCHOCK JR. D.O.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

701 OSTRUM ST, SUITE 201
FOUNTAIN HILL, PA 18015

Northampton County (610) 954-3890

ST. LUKE'S PHYSICIAN GROUP, INC.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

701 OSTRUM ST, SUITE 303
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-3900

LEHIGH VALLEY NEPHROLOGY ASSOC

Internal Medicine (Nephrology)

701 OSTRUM ST, SUITE 602
BETHLEHEM, PA 18015

Northampton County (610) 865-5888

BETHLEHEM SURGICAL CENTER PC

Surgery (Vascular Surgery)

701 OSTRUM ST, STE 504
BETHLEHEM, PA 18015

Northampton County (610) 867-2371

AMY D. SCOTT CRNP

Nurse Practitioner (Obstetrics & Gynecology)

701 OSTRUM ST, SUITE 203
FOUNTAIN HILL, PA 18015

Northampton County (610) 691-3603

JAN D CAUFFMAN CRNP

Nurse Practitioner

701 OSTRUM ST
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-3648

GEANNINE ELISA SCHIAVONE PA-C

Physician Assistant (Medical)

701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-3990

DR. KAYLE WARREN D.O.

Internal Medicine (Hematology & Oncology)

701 OSTRUM ST
FOUNTAIN HILL, PA 18015

Northampton County (484) 503-4673

JOSHUA HITCHINGS MD

Psychiatry & Neurology (Sleep Medicine)

701 OSTRUM ST
FOUNTAIN HILL, PA 18015

Northampton County (845) 265-2104

JOSEPH G. BELL M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

701 OSTRUM ST, SUITE 303
FOUNTAIN HILL, PA 18015

Northampton County (610) 954-3900

ST. LUKE'S PHYSICIAN GROUP, INC.

Obstetrics & Gynecology (Gynecology)

701 OSTRUM ST, SUITE 102
FOUNTAIN HILL, PA 18015

Northampton County (610) 954-4960

BROOKE MCQUEEN

Physician Assistant (Medical)

701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-3990

ROBERT N PURSELL MD

Internal Medicine (Nephrology)

701 OSTRUM ST, SUITE 602
BETHLEHEM, PA 18015

Northampton County (610) 865-5888

DR. MATTHEW M. PUC M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-3990

ELLYN GABRIELLE DORNSEIF PA-C

Physician Assistant (Medical)

701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-3990

STEPHEN A VOLK MD

Internal Medicine (Hematology & Oncology)

701 OSTRUM ST, SUITE 403
FOUNTAIN HILL, PA 18015

Northampton County (610) 867-3115

JAMES J. BOYLAN

Internal Medicine (Gastroenterology)

701 OSTRUM ST, SUITE 604
FOUNTAIN HILL, PA 18015

Northampton County (610) 868-9770

CHERYL ANN LUGIANO PA-C

Physician Assistant

701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015

Northampton County (484) 526-3990

MS. CHRISTINA MARIA UNGER CRRN-BC

Nurse Practitioner (Family)

701 OSTRUM ST, SUITE 604
FOUNTAIN HILL, PA 18015

Northampton County (610) 868-9770

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 Ronak Modi's NPI number?

The NPI number for Ronak Modi is 1417283219. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Ronak Modi located?

Ronak Modi practices at 701 Ostrum St Suite 201, Fountain Hill, PA 18015. The listed phone number is (484) 526-6545.

What is Ronak Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ronak Modi enrolled in Medicare?

Yes. Ronak 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.

Is Ronak Modi affiliated with any hospitals?

According to CMS data, Ronak Modi is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Ronak Modi was last updated on November 17, 2016. 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.