MAYANK R MODI MD
NPI 1790775153
Internal Medicine - Cardiovascular Disease in Wyomissing, PA

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2605 KEISER BLVD, WYOMISSING, PA 19610(610) 685-8500(610) 378-5131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mayank R Modi Md NPPES

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

MAYANK R MODI MD (NPI 1790775153) is an individual cardiovascular disease provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD059078L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1790775153
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMAYANK R MODICredential: MD
Location Address2605 KEISER BLVDWyomissing, PA 19610
Mailing Address2605 Keiser BlvdWyomissing, PA 19610 · (610) 685-8500 · Fax (610) 378-5131
Fax(610) 378-5131
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1790775153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD059078L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2605 KEISER BLVD, Wyomissing, PA 19610

Other Identifiers 3

Medicaid0017526450004PA
Medicare UPING94445
Medicare ID-Type Unspecified027754FJE

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

Mayank R Modi Md 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 ID2961424072
PECOS Enrollment IDI20060104000020
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 29

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
683 services552 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
547 services545 patients
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.
536 services457 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
216 services213 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
216 services213 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
206 services66 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier18 claims18 services$2,095.04 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 20

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

Internal Medicine (Cardiovascular Disease)
2605 KEISER BLVD
WYOMISSING, PA 19610
Internal Medicine (Cardiovascular Disease)
2605 KEISER BLVD
WYOMISSING, PA 19610
Internal Medicine (Cardiovascular Disease)
2605 KEISER BLVD
READING, PA 19610
Internal Medicine (Cardiovascular Disease)
2605 KEISER BLVD
WYOMISSING, PA 19610
Nurse Practitioner (Adult Health)
2605 KEISER BLVD
WYOMISSING, PA 19610
Internal Medicine (Cardiovascular Disease)
2605 KEISER BLVD
WYOMISSING, PA 19610
Internal Medicine (Cardiovascular Disease)
2605 KEISER BLVD
WYOMISSING, PA 19610
Nurse Practitioner (Acute Care)
2605 KEISER BLVD
WYOMISSING, PA 19610

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 Mayank Modi's NPI number?

The NPI number for Mayank Modi is 1790775153. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Mayank Modi located?

Mayank Modi practices at 2605 Keiser Blvd, Wyomissing, PA 19610. The listed phone number is (610) 685-8500.

What is Mayank Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mayank Modi enrolled in Medicare?

Yes. Mayank 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.

Is Mayank Modi affiliated with any hospitals?

According to CMS data, Mayank Modi is affiliated with Reading Hospital, St Luke's Hospital Bethlehem, Penn State Health St. Joseph, Pottstown Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Mayank 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.