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MODATHER GRAIN MD
NPI 1619658705
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since July 31, 2023PECOS EnrolledAccepts Medicare Assignment
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7746(585) 723-7834 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Modather Grain Md NPPES

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

MODATHER GRAIN MD (NPI 1619658705) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619658705
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMODATHER GRAINCredential: MD
Location Address1555 LONG POND RDRochester, NY 14626-4164
Mailing Address1555 Long Pond RdRochester, NY 14626-4164 · (585) 723-7746 · Fax (585) 723-7834
Phone(585) 723-7746
Fax(585) 723-7834
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 31, 2023
Last NPPES UpdateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1619658705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedHospitalistTaxonomy 208M00000X · License TP901 (KY)
1555 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1800 Rose StLexington, KY 40536-0293 · Phone (859) 323-6047
Location 21561 Long Pond Rd Ste 206Rochester, NY 14626-4135 · Phone (585) 368-4800 · Fax (585) 368-4815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Modather Grain Md 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 ID5395218044
PECOS Enrollment IDI20260624001740
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 Reassignments

2

Medicare enrollment records show Modather Grain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
502 mi
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Kentucky Medical Services Foundation, Inc
505 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070
VATSALA GOVIND KIRTANI M.D.
Internal Medicine (Hematology & Oncology)
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 922-4020

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 Modather Grain's NPI number?

The NPI number for Modather Grain is 1619658705. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Modather Grain located?

Modather Grain practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7746.

What is Modather Grain's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Modather Grain enrolled in Medicare?

Yes. Modather Grain 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.

Which organizations bill Medicare for Modather Grain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Modather Grain reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). Each 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 Modather Grain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Modather Grain affiliated with any hospitals?

According to CMS data, Modather Grain is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Modather Grain was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.