KAUSHIK CHHAGANLAL MODI M.D.
NPI 1700886132
Internal Medicine - Cardiovascular Disease in West Orange, NJ

Q: What is Kaushik Modi's NPI number?

The NPI number for Kaushik Modi is 1700886132. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Kaushik Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kaushik Modi was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment

449 MOUNT PLEASANT AVE, 2ND FLOOR, WEST ORANGE, NJ 07052(973) 731-7868(973) 731-7907 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kaushik Chhaganlal Modi M.d. NPPES

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

KAUSHIK CHHAGANLAL MODI M.D. (NPI 1700886132) is an individual cardiovascular disease provider in West Orange, New Jersey, licensed in New Jersey (25MA05857500) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1700886132

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameKAUSHIK CHHAGANLAL MODICredential: M.D.

Location Address449 MOUNT PLEASANT AVE, 2ND FLOORWest Orange, NJ 07052-2723

Mailing Address449 Mount Pleasant Ave, 2nd FloorWest Orange, NJ 07052-2723 · (973) 731-7868 · Fax (973) 731-7907

Phone(973) 731-7868

Fax(973) 731-7907

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateJuly 28, 2005

Last NPPES UpdateSeptember 12, 2013

✔ NPI 1700886132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NJ · 25MA05857500

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

449 MOUNT PLEASANT AVE, West Orange, NJ 07052

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Other Identifiers 3

Medicare UPINF71220NJ

Medicaid6957901NJ

Medicare ID-Type Unspecified501158NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Kaushik Chhaganlal Modi M.d. 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 ID1850387549

PECOS Enrollment IDI20050922000017

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

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

Cardiovascular Health Consultants, P.A.

10 mi

Legal Medicine

100 MADISON AVE
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
161 clinicians in this Medicare group

NPI 1437291739 (732) 919-3590

Optum Medical Care Of New Jersey PC

30 mi

Pediatrics

1 DAKOTA DR
New Hyde Park, NY 11042

Reassigned Medicare billing, New Jersey enrollment
417 clinicians in this Medicare group

NPI 1578665048 (516) 627-1811

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

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

441 services222 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

431 services247 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

195 services123 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

109 services106 patients

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.

92 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

68 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

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.

23 services21 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

20 services19 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

20 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

15 services14 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310076

Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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 5

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

DR. JON DAVID GREEN M.D.

Internal Medicine (Gastroenterology)

449 MOUNT PLEASANT AVE, 2ND FLOOR
WEST ORANGE, NJ 07052

Essex County (973) 731-7868

DR. PRASHANT N PANDYA MD

Internal Medicine

449 MOUNT PLEASANT AVE, 1ST FLOOR
WEST ORANGE, NJ 07052

Essex County (973) 731-7868

THOMAS G HIGGINS M.D.

Internal Medicine (Cardiovascular Disease)

449 MOUNT PLEASANT AVE, 2ND FLOOR
WEST ORANGE, NJ 07052

Essex County (973) 731-7868

DANIEL KILHO LEE M.D.

Internal Medicine

449 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-7868

BENNY CHU DO

Internal Medicine

449 MOUNT PLEASANT AVE, 1ST FLOOR
WEST ORANGE, NJ 07052

Essex County (973) 731-7868

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 Kaushik Modi's NPI number?

The NPI number for Kaushik Modi is 1700886132. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Kaushik Modi located?

Kaushik Modi practices at 449 Mount Pleasant Ave 2nd Floor, West Orange, NJ 07052. The listed phone number is (973) 731-7868.

What is Kaushik Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kaushik Modi enrolled in Medicare?

Yes. Kaushik 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.

Which organizations bill Medicare for Kaushik Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaushik Modi reassigns Medicare benefits to 2 organizations: Cardiovascular Health Consultants, P.A. (Morristown, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Kaushik Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaushik Modi accept?

Health plans from Oscar Health list Kaushik 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.

Is Kaushik Modi affiliated with any hospitals?

According to CMS data, Kaushik Modi is affiliated with Morristown Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Kaushik Modi was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.