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KATHAN MODI APN
NPI 1710537634
Nurse Practitioner - Family in Edison, NJ

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment
138 WINTHROP RD, EDISON, NJ 08817(848) 248-0214 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathan Modi Apn NPPES

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

KATHAN MODI APN (NPI 1710537634) is an individual family provider in Edison, New Jersey, licensed in New Jersey (26NJ00959800) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2019).

NPPES Registry Identity

NPI1710537634
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKATHAN MODICredential: APN
Location Address138 WINTHROP RDEdison, NJ 08817-3834
Mailing Address138 Winthrop RdEdison, NJ 08817-3834 · (848) 248-0214
Phone(848) 248-0214
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2019
Enumeration DateSeptember 12, 2019
✔ NPI 1710537634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00959800
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ00959800 (NJ)
138 WINTHROP RD, Edison, NJ 08817
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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

Kathan Modi Apn 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 ID8729417340
PECOS Enrollment IDI20200402002737
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 Reassignment

Medicare enrollment records show Kathan Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Villagehealth Dm LLC
1,614 mi
Case Management
2000 16TH ST
Denver, CO 80202
  • Reassigned Medicare billing, Connecticut and New Jersey enrollments
  • 11 clinicians in this Medicare group
NPI 1598273211 (303) 405-2100

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 2

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.
115 services69 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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08817 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Kathan Modi's NPI number?

The NPI number for Kathan Modi is 1710537634. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Kathan Modi located?

Kathan Modi practices at 138 Winthrop Rd, Edison, NJ 08817. The listed phone number is (848) 248-0214.

What is Kathan Modi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathan Modi enrolled in Medicare?

Yes. Kathan 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 organization bills Medicare for Kathan Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathan Modi reassigns Medicare benefits to Villagehealth Dm LLC (Denver, CO). 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 Kathan Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathan Modi accept?

Health plans from Oscar Health list Kathan 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.

When was this NPI record last updated?

The NPPES record for Kathan Modi was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.