KANIKA PRAVIN MODY M.D.
NPI 1891941449
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Hackensack, NJ

Q: What is Kanika Mody's NPI number?

The NPI number for Kanika Mody is 1891941449. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Q: What is Kanika Mody's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Kanika Mody was last updated on January 8, 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 August 14, 2008PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

20 PROSPECT AVE STE 200, HACKENSACK, NJ 07601(551) 996-4849(551) 996-8089 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kanika Pravin Mody M.d. NPPES

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

KANIKA PRAVIN MODY M.D. (NPI 1891941449) is an individual advanced heart failure and transplant cardiology provider in Hackensack, New Jersey, licensed in New Jersey (25MA09537200) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in Ridgewood.

NPPES Registry Identity

NPI1891941449

Entity TypeIndividualFemale

Primary Taxonomy207RA0001X

Provider Legal NameKANIKA PRAVIN MODYCredential: M.D.

Location Address20 PROSPECT AVE STE 200Hackensack, NJ 07601

Mailing Address35 Pine RdAllendale, NJ 07401-1342 · (551) 804-7679

Phone(551) 996-4849

Fax(551) 996-8089

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 14, 2008

Last NPPES UpdateJanuary 8, 2019

✔ NPI 1891941449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in NJ · 25MA09537200

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 249685 (NY)

20 PROSPECT AVE STE 200, Hackensack, NJ 07601

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Secondary Practice Location 1

Location 1735 Midwood RdRidgewood, NJ 07450-5537 · Phone (551) 804-7679 · Fax (201) 447-7018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Kanika Pravin Mody 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 ID1759439813

PECOS Enrollment IDI20140930000976

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 13

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.

622 services134 patients

Evaluation of lower heart chamber assist device 93750

An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.

301 services15 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.

292 services77 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.

163 services83 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services63 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

71 services59 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

57 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services42 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

34 services26 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

28 services20 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.

25 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

24 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ

2/5 CMS rating

OwnershipProprietary

CMS Certification Number310054

Location1 Bay AvenueMontclair, NJ 07042 · Essex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

75.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

4 suppliers203 claims205 services$18.41 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

6 suppliers384 claims480 services$35.86 avg. paid by Medicare

Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781

DME-Other DME · category DE000N

3 suppliers34 claims34 services$178.00 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

6 suppliers387 claims14,575 services$1.32 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.

DR. ROBERT L BERKOWITZ MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

20 PROSPECT AVE STE 200, SUITE 201
HACKENSACK, NJ 07601

Bergen County (551) 996-4849

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 Kanika Mody's NPI number?

The NPI number for Kanika Mody is 1891941449. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Where is Kanika Mody located?

Kanika Mody practices at 20 Prospect Ave Ste 200, Hackensack, NJ 07601. The listed phone number is (551) 996-4849.

What is Kanika Mody's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Kanika Mody enrolled in Medicare?

Yes. Kanika Mody 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 Kanika Mody accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kanika Mody 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 Kanika Mody affiliated with any hospitals?

According to CMS data, Kanika Mody is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Hackensack Meridian Health, Mountainside Medical and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Kanika Mody was last updated on January 8, 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.