HARESH B MODI MD
NPI 1780699660
Pediatrics - Neonatal-Perinatal Medicine in Wausau, WI
About Haresh B Modi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARESH B MODI MD (NPI 1780699660) is an individual neonatal-perinatal medicine provider in Wausau, Wisconsin, licensed in Wisconsin (48743) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Haresh B Modi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Haresh Modi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
WAUSAU, WI 54401
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 Haresh Modi's NPI number?
The NPI number for Haresh Modi is 1780699660. It was assigned to this individual provider in the NPPES registry on July 29, 2006.
Where is Haresh Modi located?
Haresh Modi practices at 2720 Plaza Dr Suite 2200, Wausau, WI 54401. The listed phone number is (715) 847-2311.
What is Haresh Modi's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Haresh Modi enrolled in Medicare?
Yes. Haresh Modi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Haresh Modi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haresh Modi reassigns Medicare benefits to 2 organizations: Aspirus Wausau Hospital Inc (Wausau, WI) and Aspirus Medford Hospital & Clinics, Inc. (Athens, WI). 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 Haresh Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haresh Modi accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Haresh 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 Haresh Modi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Haresh B Modi, MD · NPI 1780699660
Neonatal-Perinatal Medicine physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since July 29, 2006.
## Identity
- **NPI:** 1780699660 (Entity type: Individual)
- **Enumerated:** July 29, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 48743 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2720 PLAZA DR, SUITE 2200, Wausau, WI 54401-4158
- **Phone:** (715) 847-2311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aspirus Wausau Hospital Inc (NPI 1548590821, Wausau, WI); Aspirus Medford Hospital & Clinics, Inc. (NPI 1760912919, Athens, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 34811800 (WI); Medicare UPIN C40847 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1780699660) · Data from the CMS NPPES public registry.