KRUPA MODI MD
NPI 1710775994
Student in an Organized Health Care Education/Training Program in Martinez, CA

Q: What is Krupa Modi's NPI number?

The NPI number for Krupa Modi is 1710775994. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Q: What is Krupa Modi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Krupa Modi was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 28, 2025PECOS Enrolled

2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 350-5117 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Krupa Modi Md NPPES

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

KRUPA MODI MD (NPI 1710775994) is an individual student in an organized health care education/training program in Martinez, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710775994

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRUPA MODICredential: MD

Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156

Mailing Address2500 Alhambra AveMartinez, CA 94553-3156

Phone(925) 350-5117

Sole ProprietorNo

Enumeration DateApril 28, 2025

Last NPPES UpdateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1710775994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 1710775994 (CA)

2500 ALHAMBRA AVE, Martinez, CA 94553

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krupa Modi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOHN S HAWKINS

Family Medicine