1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Internal Medicine
  6. NPI Profile

POOJA MODI MD
NPI 1891225504
Internal Medicine in Fort Wayne, IN

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6620(260) 672-6639 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Jul 21, 2022, Sep 22, 2020 and 2 more (5 updates tracked since 2017).

About Pooja Modi Md NPPES

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

POOJA MODI MD (NPI 1891225504) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01084561A) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1891225504
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePOOJA MODICredential: MD
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 672-6620
Fax(260) 672-6639
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 14, 2017
Last NPPES UpdateMarch 29, 20235 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1891225504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01084561A✔ Licensed in MI · 4301112544✔ Licensed in MI · 4351029322
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.
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
Open in Google Maps ↗

Secondary Practice Location 1

Location 118101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Pooja 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 ID2062839020
PECOS Enrollment IDI20200905000114
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 4

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 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.
322 services127 patients
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.
96 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services87 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

AHMAD ALHARIRI MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-2020
DR. DANYELLE R ABER M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
AMY SOUERS M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
ANDY ALVAREZ HERRERA MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620
CORISSA PIATKA
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
MRS. CHRISTINA KAY FORD PHARMD
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-4400
SYDNEY NICHOLE RANZAU
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
HINA WAZIR MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620

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 Pooja Modi's NPI number?

The NPI number for Pooja Modi is 1891225504. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Pooja Modi located?

Pooja Modi practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-6620.

What is Pooja Modi's specialty?

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

Is Pooja Modi enrolled in Medicare?

Yes. Pooja 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 Pooja Modi accept?

Health plans from CareSource list Pooja 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 Pooja Modi affiliated with any hospitals?

According to CMS data, Pooja Modi is affiliated with Parkview Regional Medical Center and Parkview Huntington Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Modi was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.