MR. MICHAEL JOHN MODROW
NPI 1740448182
Physician Assistant - Surgical in Raleigh, NC

Active since May 31, 2008PECOS EnrolledAccepts Medicare Assignment
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7601 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2021, Dec 12, 2016 (2 updates tracked since 2016).

About Mr. Michael John Modrow NPPES

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

MR. MICHAEL JOHN MODROW (NPI 1740448182) is an individual surgical provider in Raleigh, North Carolina, licensed in North Carolina (102199) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740448182
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MICHAEL JOHN MODROW
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 31, 2008
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1740448182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NC · 102199
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1032066 (NC)
3000 NEW BERN AVE, Raleigh, NC 27610

Accepted Insurance

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

Mr. Michael John Modrow 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 ID5294970596
PECOS Enrollment IDI20130314000065
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.

Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Anesthesiology
3000 NEW BERN AVE
RALEIGH, NC 27610

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 Michael Modrow's NPI number?

The NPI number for Michael Modrow is 1740448182. It was assigned to this individual provider in the NPPES registry on May 31, 2008.

Where is Michael Modrow located?

Michael Modrow practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7601.

What is Michael Modrow's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Modrow enrolled in Medicare?

Yes. Michael Modrow 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.

What insurance does Michael Modrow accept?

Health plans from Blue Cross and Blue Shield of NC list Michael Modrow 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 Michael Modrow was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.