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SAPAN MODY MD
NPI 1912024167
Family Medicine in Santa Cruz, CA

Active since March 23, 2007PECOS Enrolled
1595 SOQUEL DR STE 220, SANTA CRUZ, CA 95065(209) 603-8524 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sapan Mody Md NPPES

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

SAPAN MODY MD (NPI 1912024167) is an individual family medicine provider in Santa Cruz, California, licensed in California (A92948) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912024167
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAPAN MODYCredential: MD
Location Address1595 SOQUEL DR STE 220Santa Cruz, CA 95065-1721
Mailing Address2025 Soquel AveSanta Cruz, CA 95062-1323 · (209) 603-8524
Phone(209) 603-8524
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateDecember 29, 2021
✔ NPI 1912024167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A92948
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1595 SOQUEL DR STE 220, Santa Cruz, CA 95065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sapan Mody Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sapan Mody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
24 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL MARCUS MD
Physical Medicine & Rehabilitation
1595 SOQUEL DR STE 220
SANTA CRUZ, CA 95065
Santa Cruz County (209) 603-8524
STEVEN RIGOR PA
Physician Assistant
1595 SOQUEL DR STE 220
SANTA CRUZ, CA 95065
Santa Cruz County (831) 464-3801
DR. CHARNJEET SINGH SANDHU M.D.
Internal Medicine (Interventional Cardiology)
1595 SOQUEL DR STE 220
SANTA CRUZ, CA 95065
Santa Cruz County (831) 464-3801

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 Sapan Mody's NPI number?

The NPI number for Sapan Mody is 1912024167. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Sapan Mody located?

Sapan Mody practices at 1595 Soquel Dr Ste 220, Santa Cruz, CA 95065. The listed phone number is (209) 603-8524.

What is Sapan Mody's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sapan Mody enrolled in Medicare?

Yes. Sapan Mody is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sapan Mody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sapan Mody reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sapan Mody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sapan Mody was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.