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RAJENDRA KUMAR MODI M.D.
NPI 1902895733
Ophthalmology in Ridgewood, NY

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
55-44 METROPOLITAN AVENUE, RIDGEWOOD, NY 11385(718) 456-2020(718) 821-5342 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rajendra Kumar Modi M.d. NPPES

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

RAJENDRA KUMAR MODI M.D. (NPI 1902895733) is an individual ophthalmology provider in Ridgewood, New York, licensed in New York (154743) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1902895733
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRAJENDRA KUMAR MODICredential: M.D.
Location Address55-44 METROPOLITAN AVENUERidgewood, NY 11385
Mailing Address55-44 Metropolitan AvenueRidgewood, NY 11385 · (718) 456-2020 · Fax (718) 821-5342
Phone(718) 456-2020
Fax(718) 821-5342
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 14, 2005
Last NPPES UpdateJanuary 3, 2011
✔ NPI 1902895733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 154743
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedSpecialistTaxonomy 174400000X · License 154743 (NY)
55-44 METROPOLITAN AVENUE, Ridgewood, NY 11385
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Other Identifiers 8

Medicaid00773280NY
Medicare UPINA64913NY
OtherDS376NY · Oxford
OtherDS376NY · Oxf
Medicare PIN86601NY
Other74937NY · Aetna Ushc
Medicaid0773280NY
Medicare PIN94A741NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Rajendra Kumar 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 ID7517090889
PECOS Enrollment IDI20100806000586
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 9

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
208 services155 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
158 services135 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
65 services64 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
52 services52 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
48 services42 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
45 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 Rajendra Modi's NPI number?

The NPI number for Rajendra Modi is 1902895733. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Rajendra Modi located?

Rajendra Modi practices at 55-44 Metropolitan Avenue, Ridgewood, NY 11385. The listed phone number is (718) 456-2020.

What is Rajendra Modi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rajendra Modi enrolled in Medicare?

Yes. Rajendra 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 Rajendra Modi accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Rajendra 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.

When was this NPI record last updated?

The NPPES record for Rajendra Modi was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.