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MR. SHAN PARESH MODI M.D.
NPI 1437680329
Internal Medicine - Critical Care Medicine in Pittsburgh, PA

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
320 E NORTH AVE, PITTSBURGH, PA 15212(412) 359-6656(412) 359-6653 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Nov 18, 2024, Nov 14, 2023 and 4 more (7 updates tracked since 2017).

About Mr. Shan Paresh Modi M.d. NPPES

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

MR. SHAN PARESH MODI M.D. (NPI 1437680329) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD477003) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437680329
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMR. SHAN PARESH MODICredential: M.D.
Location Address320 E NORTH AVEPittsburgh, PA 15212-4756
Mailing Address4 Allegheny Ctr Fl 7Pittsburgh, PA 15212-5227 · (412) 330-6060 · Fax (412) 330-5844
Phone(412) 359-6656
Fax(412) 359-6653
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateApril 9, 20257 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1437680329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD477003
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
320 E NORTH AVE, Pittsburgh, PA 15212
Open in Google Maps ↗

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

Mr. Shan Paresh 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 ID2466721527
PECOS Enrollment IDI20220409000401
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

3

Medicare enrollment records show Shan Modi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Surgery
320 E NORTH AVE
Pittsburgh, PA 15212
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1023018447 (412) 359-3336
University Of Pittsburgh Physicians
1.5 mi
Pediatrics
4401 PENN AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225096639 (412) 692-5325
Upmc Community Medicine Inc
2.4 mi
Cardiovascular Disease
5140 LIBERTY AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1801179890 (412) 647-5438

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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
67 services38 patients

Hospital Affiliations CMS Care Compare

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

DR. MATTHEW SCOTT HARTMAN M.D.
Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
DR. JOSEF TURNER M.D.
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. MATTHEW MICHAEL LANDER M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6500
DR. VINCENT SAMUEL CERETTO D.O
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3030
MATTHEW LYONS CRNA
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3155
MISS KRISTY LYNN BOWMAN RN
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6581
ANNA MOSELEY VANATTA MD
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
MACKENZIE MARIE MCGAHAN DO
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905

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 Shan Modi's NPI number?

The NPI number for Shan Modi is 1437680329. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Shan Modi located?

Shan Modi practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-6656.

What is Shan Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Shan Modi enrolled in Medicare?

Yes. Shan 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 Shan Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shan Modi reassigns Medicare benefits to 3 organizations: Allegheny Clinic (Pittsburgh, PA), University Of Pittsburgh Physicians (Pittsburgh, PA) and Upmc Community Medicine Inc (Pittsburgh, PA). 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 Shan Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shan Modi affiliated with any hospitals?

According to CMS data, Shan Modi is affiliated with Allegheny General Hospital.

When was this NPI record last updated?

The NPPES record for Shan Modi was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.