MITUL B. MODI MD
NPI 1649794876
Dermatology in Maywood, IL

Q: What is Mitul Modi's NPI number?

The NPI number for Mitul Modi is 1649794876. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Q: What is Mitul Modi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mitul Modi was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 31, 2017PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(248) 839-7383 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2022, Jul 31, 2017 (2 updates tracked since 2017).

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About Mitul B. Modi Md NPPES

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

MITUL B. MODI MD (NPI 1649794876) is an individual dermatology provider in Maywood, Illinois, licensed in Illinois (036164764) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1649794876

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameMITUL B. MODICredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328

Phone(248) 839-7383

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 31, 2017

Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1649794876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in IL · 036164764

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 125079219 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2160 S 1ST AVE, Maywood, IL 60153

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Secondary Practice Location 1

Location 1800 Spruce StPhiladelphia, PA 19107-6130 · Phone (215) 829-6992

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

Mitul B. Modi 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 ID8921487869

PECOS Enrollment IDI20230829001955

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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,042 services665 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

798 services190 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

423 services327 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

105 services97 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

84 services74 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

83 services53 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

81 services57 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

45 services19 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

37 services18 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

33 services33 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

28 services18 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

25 services25 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

24 services23 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

23 services18 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

20 services19 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

19 services18 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

16 services16 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

12 services12 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140029

Location2000 Ogden AvenueAurora, IL 60504 · Kane County

Emergency services Birthing friendly

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140063

Location520 S Maple AveOak Park, IL 60304 · Cook County

Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 20

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

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