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DR. HRISHABH MODI MD
NPI 1619219128
Hospitalist in Ypsilanti, MI

Active since March 22, 2013PECOS Enrolled
81.23/100
CMS Quality Rating
5333 MCAULEY DR, SUITE 4001, YPSILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2024, Jan 5, 2024, Oct 11, 2022 (3 updates tracked since 2022).

About Dr. Hrishabh Modi Md NPPES

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

DR. HRISHABH MODI MD (NPI 1619219128) is an individual hospitalist provider in Ypsilanti, Michigan, licensed in West Virginia (27172) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1619219128
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HRISHABH MODICredential: MD
Location Address5333 MCAULEY DR, SUITE 4001Ypsilanti, MI 48197-1014
Mailing Address46860 WarehamCanton, MI 48187-4673
Phone(734) 712-3980
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1619219128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WV · 27172✔ Licensed in LA · 321682
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01080157 (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5333 MCAULEY DR, Ypsilanti, MI 48197
Open in Google Maps ↗

Secondary Practice Location 1

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

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, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hrishabh 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.

Areas of Expertise CMS Part B claims 2

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.
171 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

ARDEN BASLER RN
Registered Nurse (Women's Health Care, Ambulatory)
5333 MCAULEY DR, RHB 2110
YPSILANTI, MI 48197
Washtenaw County (734) 712-3126
MORGAN MURDOCK CNP
Internal Medicine (Addiction Medicine)
5333 MCAULEY DR, SUITE 3111
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. VISHAL BHAGAT M.D.
Radiology (Vascular & Interventional Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
ST JOSEPH MERCY HOSPITAL
Internal Medicine
5333 MCAULEY DR, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. GIL S. BORLAZA M.D.
Radiology (Diagnostic Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
MS. MICHELLE SCHNAPER OKUN MS, APRN, BC
Nurse Practitioner (Adult Health)
5333 MCAULEY DR, SUITE 4106
YPSILANTI, MI 48197
Washtenaw County (734) 712-5637
THERON LEROY DOBSON M.D.
Psychiatry & Neurology (Neurology)
5333 MCAULEY DR, STE 6109
YPSILANTI, MI 48197
Washtenaw County (734) 712-1400
ELI PEARSON TIDWELL
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

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 Hrishabh Modi's NPI number?

The NPI number for Hrishabh Modi is 1619219128. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Hrishabh Modi located?

Hrishabh Modi practices at 5333 Mcauley Dr Suite 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3980.

What is Hrishabh Modi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hrishabh Modi enrolled in Medicare?

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

What insurance does Hrishabh Modi accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource list Hrishabh Modi 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.

When was this NPI record last updated?

The NPPES record for Hrishabh Modi was last updated on April 11, 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.