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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KIRAN R MODI M.D.
NPI 1427016724
Internal Medicine - Cardiovascular Disease in Titusville, FL

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
500 N WASHINGTON AVE, SUITE # 106, TITUSVILLE, FL 32796(321) 264-9100 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2026, Jul 2, 2024 (2 updates tracked since 2024).

About Dr. Kiran R Modi M.d. NPPES

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

DR. KIRAN R MODI M.D. (NPI 1427016724) is an individual cardiovascular disease provider in Titusville, Florida, licensed in Florida (52106) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1427016724
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KIRAN R MODICredential: M.D.
Location Address500 N WASHINGTON AVE, SUITE # 106Titusville, FL 32796-2759
Mailing Address500 N Washington Ave Ste 106Titusville, FL 32796-2759 · (321) 264-9100
Phone(321) 264-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1427016724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in FL · 52106✔ Licensed in IL · 036168016
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
500 N WASHINGTON AVE, Titusville, FL 32796
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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. Kiran R 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 ID9234327099
PECOS Enrollment IDI20101220001185
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 5

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.

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.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services28 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.
24 services16 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.
18 services17 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Calhoun-Liberty Hospital

Critical Access Hospitals · Blountstown, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101304
Location20370 NE Burns AveBlountstown, FL 32424 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32796 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,310 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,093 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
58%540 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%508 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 816 patients
Patients tobacco: 96% · 816 patients
63%80 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
7%508 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%508 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 880 patients
0%880 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

RACHEL L WORLEY MD
Pediatrics
500 N WASHINGTON AVE, BREVARD HEALTH ALLIANCE
TITUSVILLE, FL 32796
Brevard County (321) 268-0267
DAVID R. QUINTYNE D.O.
Family Medicine
500 N WASHINGTON AVE, SUITE 105
TITUSVILLE, FL 32796
Brevard County (321) 268-0267
KIRAN R. MODI, M.D., P.A.
Internal Medicine (Cardiovascular Disease)
500 N WASHINGTON AVE, SUITE # 106
TITUSVILLE, FL 32796
Brevard County (321) 264-9100
BREVARD HEALTH ALLIANCE
General Practice
500 N WASHINGTON AVE, SUITE 105
TITUSVILLE, FL 32796
Brevard County (321) 264-5496
MR. MARK H TONKINS RPT ATC
Physical Therapist
500 N WASHINGTON AVE, SUITE 107
TITUSVILLE, FL 32796
Brevard County (321) 269-0800
DR. ANITA D SPITZ MD
Family Medicine
500 N WASHINGTON AVE, SUITE 103
TITUSVILLE, FL 32796
Brevard County (321) 383-0112
MS. JEANNETTE DUISBERG NP
Nurse Practitioner (Family)
500 N WASHINGTON AVE, SUITE 105
TITUSVILLE, FL 32796
Brevard County (321) 268-0267
DR. DOUGLAS JEFFERSON ANDERSON M. D.
Internal Medicine
500 N WASHINGTON AVE, SUITE 208
TITUSVILLE, FL 32796
Brevard County (321) 269-3808

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 Kiran Modi's NPI number?

The NPI number for Kiran Modi is 1427016724. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Kiran Modi located?

Kiran Modi practices at 500 N Washington Ave Suite # 106, Titusville, FL 32796. The listed phone number is (321) 264-9100.

What is Kiran Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kiran Modi enrolled in Medicare?

Yes. Kiran 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.

What insurance does Kiran Modi accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Kiran 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 Kiran Modi affiliated with any hospitals?

According to CMS data, Kiran Modi is affiliated with Hca Florida Gulf Coast Hospital and Calhoun-Liberty Hospital.

When was this NPI record last updated?

The NPPES record for Kiran Modi was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.