DR. VIKASH K MODI MD
NPI 1609925403
Otolaryngology - Pediatric Otolaryngology in New York, NY

Active since January 09, 2007PECOS Enrolled
100/100
CMS Quality Rating
428 E 72ND ST OFC 100, NEW YORK, NY 10021(646) 962-4780 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Vikash K Modi Md NPPES

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

DR. VIKASH K MODI MD (NPI 1609925403) is an individual pediatric otolaryngology provider in New York, New York, licensed in New York (249105) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1609925403
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. VIKASH K MODICredential: MD
Location Address428 E 72ND ST OFC 100New York, NY 10021-4635
Mailing Address428 E 72nd St Ofc 100New York, NY 10021-4635 · (646) 962-4780
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1609925403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in NY · 249105
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
428 E 72ND ST OFC 100, New York, NY 10021

Secondary Practice Location 1

Location 12315 Broadway Fl 3New York, NY 10024-4332 · Phone (646) 962-9136

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vikash K Modi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Vikash Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Otolaryngology
520 E 70TH ST, STARR 541
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Weill Medical College Of Cornell
  • 80 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Pediatrics (Pediatric Nephrology)
428 E 72ND ST OFC 100
NEW YORK, NY 10021
Otolaryngology (Pediatric Otolaryngology)
428 E 72ND ST OFC 100
NEW YORK, NY 10021
Psychiatry & Neurology (Neurology)
428 E 72ND ST OFC 100
NEW YORK, NY 10021
Pediatrics (Pediatric Nephrology)
428 E 72ND ST OFC 100
NEW YORK, NY 10021
Pediatrics (Pediatric Pulmonology)
428 E 72ND ST OFC 100
NEW YORK, NY 10021
Nurse Practitioner (Pediatrics)
428 E 72ND ST OFC 100
NEW YORK, NY 10021
Otolaryngology (Pediatric Otolaryngology)
428 E 72ND ST OFC 100
NEW YORK, NY 10021
Nurse Practitioner (Pediatrics)
428 E 72ND ST OFC 100
NEW YORK, NY 10021

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 Vikash Modi's NPI number?

The NPI number for Vikash Modi is 1609925403. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Vikash Modi located?

Vikash Modi practices at 428 E 72nd St Ofc 100, New York, NY 10021. The listed phone number is (646) 962-4780.

What is Vikash Modi's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Vikash Modi enrolled in Medicare?

Yes. Vikash Modi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vikash Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikash Modi reassigns Medicare benefits to Weill Medical College Of Cornell University (New York, NY). The 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 Vikash Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vikash Modi was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.