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ARVIND MODAWAL M.D.
NPI 1790764314
Family Medicine - Geriatric Medicine in West Chester, OH

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
7700 UNIVERSITY CT STE 3100, UNIVERSITY FAMILY PHYSICIANS-UNIVERSITY POINTE, WEST CHESTER, OH 45069(513) 475-8264(513) 475-8265 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arvind Modawal M.d. NPPES

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

ARVIND MODAWAL M.D. (NPI 1790764314) is an individual geriatric medicine provider in West Chester, Ohio, licensed in Ohio (35.070118) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1790764314
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameARVIND MODAWALCredential: M.D.
Location Address7700 UNIVERSITY CT STE 3100, UNIVERSITY FAMILY PHYSICIANS-UNIVERSITY POINTEWest Chester, OH 45069-6545
Mailing Address2830 Victory Pkwy Ste 120Cincinnati, OH 45206-1786 · (513) 245-3052
Phone(513) 475-8264
Fax(513) 475-8265
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 12, 2006
Last NPPES UpdateDecember 13, 2013
✔ NPI 1790764314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in OH · 35.070118
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35.070118 (OH)
7700 UNIVERSITY CT STE 3100, West Chester, OH 45069
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Other Identifiers 8

Medicaid0274046OH
Medicare PINP00446561OH
Medicare ID-Type UnspecifiedMO0808581
Medicare PINP00379582OH
Medicare PINMO7363801OH
Medicare PINMO0808589OH
Medicare UPING35893
Medicare PINMO4238491OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Insurance, UnitedHealthcare.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

Arvind Modawal 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 ID3274589668
PECOS Enrollment IDI20050329000857
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
105 services53 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
32 services18 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
31 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%196 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims1,521 services$0.37 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$46.41 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SRILAKSHMI S MURTHY M.D.
Family Medicine
7700 UNIVERSITY CT STE 3100, UNIVERSITY FAMILY PHYSICIANS-UNIVERSITY POINTE
WEST CHESTER, OH 45069
Butler County (513) 475-8264

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 Arvind Modawal's NPI number?

The NPI number for Arvind Modawal is 1790764314. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Arvind Modawal located?

Arvind Modawal practices at 7700 University Ct Ste 3100 University Family Physicians-University Pointe, West Chester, OH 45069. The listed phone number is (513) 475-8264.

What is Arvind Modawal's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Arvind Modawal enrolled in Medicare?

Yes. Arvind Modawal 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 Arvind Modawal accept?

Health plans from Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Arvind Modawal 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 Arvind Modawal was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.