RAHEEL MODY
NPI 1447644745
Family Medicine in West Bend, WI

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
205 VALLEY AVE, WEST BEND, WI 53095(262) 338-1123 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Nov 23, 2021, Jul 18, 2018 (3 updates tracked since 2018).

About Raheel Mody NPPES

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

RAHEEL MODY (NPI 1447644745) is an individual family medicine provider in West Bend, Wisconsin, licensed in Wisconsin (66960) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1447644745
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAHEEL MODY
Location Address205 VALLEY AVEWest Bend, WI 53095
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 24, 2015
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1447644745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 66960
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
205 VALLEY AVE, West Bend, WI 53095

Secondary Practice Location 1

Location 12801 W Kinnickinnic River Pkwy Ste 250Milwaukee, WI 53215-3678 · Phone (414) 649-3361

Other Identifiers 1

Medicaid100067921WI

Accepted 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

Raheel Mody 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 ID3870859374
PECOS Enrollment IDI20180806000410
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.

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.
113 services60 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.
80 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Chiropractor
205 VALLEY AVE
WEST BEND, WI 53095
Durable Medical Equipment & Medical Supplies
205 VALLEY AVE
WEST BEND, WI 53095
Chiropractor
205 VALLEY AVE
WEST BEND, WI 53095
Pediatrics
205 VALLEY AVE
WEST BEND, WI 53095
Physician Assistant
205 VALLEY AVE
WEST BEND, WI 53095
Optometrist
205 VALLEY AVE
WEST BEND, WI 53095
Pharmacy
205 VALLEY AVE
WEST BEND, WI 53095
Physician Assistant
205 VALLEY AVE
WEST BEND, WI 53095

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 Raheel Mody's NPI number?

The NPI number for Raheel Mody is 1447644745. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Raheel Mody located?

Raheel Mody practices at 205 Valley Ave, West Bend, WI 53095. The listed phone number is (262) 338-1123.

What is Raheel Mody's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raheel Mody enrolled in Medicare?

Yes. Raheel 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.

What insurance does Raheel Mody accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Raheel 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.

Is Raheel Mody affiliated with any hospitals?

According to CMS data, Raheel Mody is affiliated with Aurora Medical Ctr Washington County and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Raheel Mody was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.