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MAMATHA MODEM M.D
NPI 1528174943
Internal Medicine - Geriatric Medicine in Dallas, TX

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
90.13/100
CMS Quality Rating
1400 N WESTMORELAND RD, DALLAS, TX 75211(214) 266-0500 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mamatha Modem M.d NPPES

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

MAMATHA MODEM M.D (NPI 1528174943) is an individual geriatric medicine provider in Dallas, Texas, licensed in Texas (P1902) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1528174943
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameMAMATHA MODEMCredential: M.D
Location Address1400 N WESTMORELAND RDDallas, TX 75211-1656
Mailing AddressPo Box 660599Dallas, TX 75266-0599
Phone(214) 266-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 21, 2006
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1528174943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in TX · P1902
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License P1902 (TX)
1400 N WESTMORELAND RD, Dallas, TX 75211
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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

Mamatha Modem 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 ID1456353341
PECOS Enrollment IDI20130615000020
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 4

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.
119 services90 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
58 services44 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
23 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75211 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
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.11
Promoting Interoperability88
Improvement Activities40
Cost63.49

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers150 claims290 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers71 claims87 services$1.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers11 claims18 services$15.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers23 claims30 services$66.77 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$32.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEENAKSHI SHAILI WHCNP
Nurse Practitioner (Women's Health)
1400 N WESTMORELAND RD, DEHARO-SALDIVAR HEALTH CENTER
DALLAS, TX 75211
Dallas County (214) 266-0580
DALLAS COUNTY HOSPITAL DISTRICT
Nurse Practitioner
1400 N WESTMORELAND RD
DALLAS, TX 75211
Dallas County (214) 266-0580
LILAH JAN ANDREWS RNC WHNP
Nurse Practitioner (Women's Health)
1400 N WESTMORELAND RD
DALLAS, TX 75211
Dallas County (214) 266-0580
LUISA A. RONDON MD
Pediatrics
1400 N WESTMORELAND RD, DEHARO SALDIVAR HEALTH CENTER
DALLAS, TX 75211
Dallas County (214) 266-0500
KIMBERLY T. BARTON MD
Pediatrics
1400 N WESTMORELAND RD, DEHARO-SALDIVAR HEALTH CENTER
DALLAS, TX 75211
Dallas County (214) 266-0500
MANJUSHA CHARI JOHNSON NP
Nurse Practitioner (Adult Health)
1400 N WESTMORELAND RD
DALLAS, TX 75211
Dallas County (214) 266-0500
MARY H. RIVERO-HOMER MD
Internal Medicine
1400 N WESTMORELAND RD, DEHARO-SALDIVAR HEALTH CENTER
DALLAS, TX 75211
Dallas County (214) 266-0565
JING LIN CHEN WHCNP
Nurse Practitioner (Women's Health)
1400 N WESTMORELAND RD, DEHARO SALDIVAR WOMEN'S HEALTH CENTER
DALLAS, TX 75211
Dallas County (214) 266-0580

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 Mamatha Modem's NPI number?

The NPI number for Mamatha Modem is 1528174943. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Mamatha Modem located?

Mamatha Modem practices at 1400 N Westmoreland Rd, Dallas, TX 75211. The listed phone number is (214) 266-0500.

What is Mamatha Modem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Mamatha Modem enrolled in Medicare?

Yes. Mamatha Modem 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 Mamatha Modem affiliated with any hospitals?

According to CMS data, Mamatha Modem is affiliated with Parkland Health & Hospital System.

When was this NPI record last updated?

The NPPES record for Mamatha Modem was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.