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SANIL SAUMEEL MODI MD
NPI 1851041347
Internal Medicine in Douglasville, GA

Active since March 27, 2022PECOS EnrolledAccepts Medicare Assignment
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134(470) 644-8858(470) 986-7073 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanil Saumeel Modi Md NPPES

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

SANIL SAUMEEL MODI MD (NPI 1851041347) is an individual internal medicine provider in Douglasville, Georgia, licensed in Georgia (103079) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851041347
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANIL SAUMEEL MODICredential: MD
Location Address8954 HOSPITAL DRDouglasville, GA 30134-2272
Mailing Address8954 Hospital DrDouglasville, GA 30134-2272 · (470) 644-8858 · Fax (470) 986-7073
Phone(470) 644-8858
Fax(470) 986-7073
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2022
Last NPPES UpdateJune 24, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1851041347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 103079
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.
8954 HOSPITAL DR, Douglasville, GA 30134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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

Sanil Saumeel 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 ID840670295
PECOS Enrollment IDI20250929000206
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.

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

AMPARO PYRONNEAU NP
Nurse Practitioner (Family)
8954 HOSPITAL DR, BUILDING B, SUITE 115
DOUGLASVILLE, GA 30134
Douglas County (770) 874-5400
MS. SARAH MURPHY MSPAS, PA-C
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (678) 838-2585
NINA SHERIA LAGARDE NP
Nurse Practitioner (Family)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (678) 838-2584
LAUREN ROSE BREIDENBACH DPT
Physical Therapist
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (470) 664-6000
DR. HANNA LEGESSE HIRPO MD
Internal Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (678) 838-2585
DR. KEHINDE OPEOLUWA IDOWU M.D
Family Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (678) 838-2585
TRI-COUNTY ANESTHESIA, LLC
Anesthesiology
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (770) 920-6420
MRS. KRISTIN ISABEL GRIGGS PA-C
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (943) 202-7120

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 Sanil Modi's NPI number?

The NPI number for Sanil Modi is 1851041347. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Where is Sanil Modi located?

Sanil Modi practices at 8954 Hospital Dr, Douglasville, GA 30134. The listed phone number is (470) 644-8858.

What is Sanil Modi's specialty?

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

Is Sanil Modi enrolled in Medicare?

Yes. Sanil 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.

What insurance does Sanil Modi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sanil 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.

Is Sanil Modi affiliated with any hospitals?

According to CMS data, Sanil Modi is affiliated with Wellstar Kennestone Regional Medical Center, Northside Hospital and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Sanil Modi was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.