NIKHIL MODAK
NPI 1629607429
Student in an Organized Health Care Education/Training Program in Cleveland, OH
About Nikhil Modak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKHIL MODAK (NPI 1629607429) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nikhil Modak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nikhil Modak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwest Community Hospital 1
Acute Care Hospitals · Arlington Heights, ILOhio State University State Health System
Acute Care Hospitals · Columbus, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44106
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 Nikhil Modak's NPI number?
The NPI number for Nikhil Modak is 1629607429. It was assigned to this individual provider in the NPPES registry on April 3, 2020.
Where is Nikhil Modak located?
Nikhil Modak practices at University Hospitals Case Medical Center 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (614) 787-8263.
What is Nikhil Modak's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nikhil Modak enrolled in Medicare?
Yes. Nikhil Modak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nikhil Modak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Modak reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). 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 Nikhil Modak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nikhil Modak accept?
Health plans from Oscar Health list Nikhil Modak 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.
Is Nikhil Modak affiliated with any hospitals?
According to CMS data, Nikhil Modak is affiliated with Northwest Community Hospital 1 and Ohio State University State Health System.
When was this NPI record last updated?
The NPPES record for Nikhil Modak was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nikhil Modak · NPI 1629607429
Student in an Organized Health Care Education/Training Program provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1629607429 (Entity type: Individual)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** UNIVERSITY HOSPITALS CASE MEDICAL CENTER, 11100 EUCLID AVE, Cleveland, OH 44106
- **Phone:** (614) 787-8263
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Endeavor Health Medical Group (NPI 1265695944, Evanston, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629607429) · Data from the CMS NPPES public registry.