SUNJAY MODI
NPI 1609371855
Internal Medicine - Allergy & Immunology in Royal Oak, MI

Q: What is Sunjay Modi's NPI number?

The NPI number for Sunjay Modi is 1609371855. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Sunjay Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Q: When was this NPI record last updated?

The NPPES record for Sunjay Modi was last updated on October 5, 2023. 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.

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment

88.92/100

CMS Quality Rating

3600 W 13 MILE RD, ROYAL OAK, MI 48073(248) 549-0777(248) 549-5888 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Jan 21, 2023, Apr 20, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Sunjay Modi NPPES

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

SUNJAY MODI (NPI 1609371855) is an individual allergy & immunology provider in Royal Oak, Michigan, licensed in Michigan (4301508720) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (2018).

NPPES Registry Identity

NPI1609371855

Entity TypeIndividualMale

Primary Taxonomy207RA0201X

Provider Legal NameSUNJAY MODI

Location Address3600 W 13 MILE RDRoyal Oak, MI 48073-6711

Mailing Address3600 W 13 Mile RdRoyal Oak, MI 48073-6711 · (248) 549-0777 · Fax (248) 549-5888

Phone(248) 549-0777

Fax(248) 549-5888

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2018

Enumeration DateMarch 29, 2018

Last NPPES UpdateOctober 5, 20235 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1609371855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0201X

License✔ Licensed in MI · 4301508720

Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

3600 W 13 MILE RD, Royal Oak, MI 48073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Sunjay Modi 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 ID4284978446

PECOS Enrollment IDI20230712002152

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

2,436 services34 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

501 services27 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.

85 services46 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.

57 services57 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

42 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

88.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

53.6

Other Providers at the Same Location NPPES 16

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

DR. MOHAMAD Y TAWILA M.D.

Allergy & Immunology