DIPENKUMAR KANAIYALAL MODI M.D.
NPI 1821344656
Internal Medicine in Detroit, MI

Q: What is Dipenkumar Modi's NPI number?

The NPI number for Dipenkumar Modi is 1821344656. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Q: What is Dipenkumar Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Dipenkumar Modi was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 30, 2012PECOS EnrolledAccepts Medicare Assignment

4100 JOHN R ST, DETROIT, MI 48201(313) 576-8780 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2019, Dec 22, 2015 (2 updates tracked since 2015).

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About Dipenkumar Kanaiyalal Modi M.d. NPPES

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

DIPENKUMAR KANAIYALAL MODI M.D. (NPI 1821344656) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301101133) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1821344656

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDIPENKUMAR KANAIYALAL MODICredential: M.D.

Location Address4100 JOHN R STDetroit, MI 48201-2013

Mailing Address2411 Dorchester Dr N Apt 203Troy, MI 48084-3744 · (313) 676-0320

Phone(313) 576-8780

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 30, 2012

Last NPPES UpdateMay 23, 20192 updates tracked since enumeration

✔ NPI 1821344656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301101133

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4100 JOHN R ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 14201 Saint Antoine St, Suite 2EDetroit, MI 48201-2153 · Phone (313) 745-4832 · Fax (313) 745-4052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dipenkumar Kanaiyalal Modi 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 ID7517269947

PECOS Enrollment IDI20190612000558

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 7

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

178 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

158 services46 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

146 services30 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.

123 services50 patients

Mechanical separation of red blood cells from blood 36512

Mechanical separation of red blood cells from blood is a process where a machine separates red blood cells from the rest of your blood. This allows for detailed study of these cells, aiding in diagnosis and treatment of various blood-related conditions.

38 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230104

Location3990 John R StreetDetroit, MI 48201 · Wayne County

Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number230297

Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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.

BARBARA ANN KARMANOS CANCER HOSPITAL

Pharmacy (Community/Retail Pharmacy)

4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201

Wayne County (313) 576-9350

BARBARA ANN KARMANOS CANCER CENTER

General Acute Care Hospital