APURVA A MODI M.D.
NPI 1558300137
Internal Medicine - Gastroenterology in Fort Worth, TX

Q: What is Apurva Modi's NPI number?

The NPI number for Apurva Modi is 1558300137. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Apurva 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 Apurva Modi was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 06, 2006PECOS EnrolledAccepts Medicare Assignment

1250 8TH AVE, SUITE # 515, FORT WORTH, TX 76104(817) 922-9968(817) 922-9762 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Apurva A Modi M.d. NPPES

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

APURVA A MODI M.D. (NPI 1558300137) is an individual gastroenterology provider in Fort Worth, Texas, licensed in Texas (N9912) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1558300137

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameAPURVA A MODICredential: M.D.

Location Address1250 8TH AVE, SUITE # 515Fort Worth, TX 76104-4124

Mailing Address1250 8th Ave, Suite # 515Fort Worth, TX 76104-4124 · (817) 922-9968 · Fax (817) 922-9762

Phone(817) 922-9968

Fax(817) 922-9762

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 6, 2006

Last NPPES UpdateJuly 29, 2015

✔ NPI 1558300137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · N9912

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.

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License N9912 (TX)

1250 8TH AVE, Fort Worth, TX 76104

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Other Identifiers 6

Medicare PIN190849Y1PMD

Medicaid007208700MD

Medicare PINTXB137468TX

Medicare PINP01087165TX

Medicare UPINI50867

Medicaid285797101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Apurva A 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 ID1052329349

PECOS Enrollment IDI20111117000659

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 13

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.

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.

112 services55 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.

104 services94 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.

86 services66 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.

79 services43 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.

50 services50 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services17 patients

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.

27 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

25 services25 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.

24 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.

19 services17 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.

18 services15 patients

Tying of dilated veins of stomach and/or esophagus using a flexible endoscope 43244

This procedure involves using a flexible tube (endoscope) to view and tie off enlarged veins in the stomach or esophagus. This helps prevent bleeding from these veins, which can occur due to certain conditions like liver disease.

14 services12 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450101

Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Medical Center Hospital

Acute Care Hospitals · Odessa, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450132

Location500 W 4th StreetOdessa, TX 79761 · Ector County

Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Azathioprine, oral, 50 mg J7500