1. Home
  2. Directory
  3. California
  4. Walnut Creek
  5. Family Medicine
  6. NPI Profile

HARSHIL MODI
NPI 1639759020
Family Medicine in Walnut Creek, CA

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment
215 LENNON LN STE 200, WALNUT CREEK, CA 94598(925) 685-4224 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Dec 12, 2025, Jul 10, 2024 and 1 more (4 updates tracked since 2021).

About Harshil Modi NPPES

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

HARSHIL MODI (NPI 1639759020) is an individual family medicine provider in Walnut Creek, California, licensed in California (A192164) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639759020
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHARSHIL MODI
Location Address215 LENNON LN STE 200Walnut Creek, CA 94598-2543
Mailing Address215 Lennon Ln Ste 200Walnut Creek, CA 94598-2543 · (925) 685-4224
Phone(925) 685-4224
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2021
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1639759020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A192164
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License A192164 (CA)
215 LENNON LN STE 200, Walnut Creek, CA 94598
Open in Google Maps ↗

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

Harshil 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 ID2668814021
PECOS Enrollment IDI20241014003881
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 3

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

HAILEY ELAINE D'ATRI NP
Nurse Practitioner (Family)
215 LENNON LN STE 200
WALNUT CREEK, CA 94598
Contra Costa County (925) 685-4224
MS. MADELINE ROSE PARKER PA-C
Physician Assistant
215 LENNON LN STE 200
WALNUT CREEK, CA 94598
Contra Costa County (925) 685-4224
PARIDHI BADJATIYA
Nurse Practitioner
215 LENNON LN STE 200
WALNUT CREEK, CA 94598
Contra Costa County (770) 365-5032

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 Harshil Modi's NPI number?

The NPI number for Harshil Modi is 1639759020. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Harshil Modi located?

Harshil Modi practices at 215 Lennon Ln Ste 200, Walnut Creek, CA 94598. The listed phone number is (925) 685-4224.

What is Harshil Modi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harshil Modi enrolled in Medicare?

Yes. Harshil Modi 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.

When was this NPI record last updated?

The NPPES record for Harshil Modi was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.