PALM COAST OB GYN
NPI 1942590401
Obstetrics & Gynecology in Palm Coast, FL
About Palm Coast Ob Gyn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM COAST OB GYN (NPI 1942590401) is a healthcare organization registered as an obstetrics & gynecology in Palm Coast, Florida and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Patricia Isabel Modad, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Palm Coast Ob Gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Palm Coast Ob Gyn, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2023049
Palm Coast Ob Gyn · Palm Coast, FLFrequently 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 Patricia Modad, MD, PA's NPI number?
The NPI number for Patricia Modad, MD, PA is 1942590401. It was assigned to this organization in the NPPES registry on April 18, 2011. The provider is doing business as Palm Coast Ob Gyn.
Where is Patricia Modad, MD, PA located?
Patricia Modad, MD, PA is located at 50 Leanni Way Suites A3 & A4, Palm Coast, FL 32137. The listed phone number is (386) 447-6831.
What is Patricia Modad, MD, PA's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Patricia Modad, MD, PA enrolled in Medicare?
Yes. Patricia Modad, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Patricia Modad, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Patricia Modad, MD, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Patricia Modad, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2023049) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Patricia Modad, MD, PA was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Palm Coast Ob Gyn · NPI 1942590401
Obstetrics & Gynecology organization in Palm Coast, Florida. Organization record, active in the CMS NPPES registry since April 18, 2011.
## Identity
- **NPI:** 1942590401 (Entity type: Organization)
- **Enumerated:** April 18, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Legal business name:** Patricia Modad, Md, Pa
- **Organization subpart:** No
- **Authorized official:** Patricia Modad, PRESIDENT
## Practice location
- **Address:** 50 LEANNI WAY, SUITES A3 & A4, Palm Coast, FL 32137-4751
- **Phone:** (386) 447-6831 · **Fax:** (386) 447-6834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2011
- **Other identifiers:** Medicare PIN EY172A (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942590401) · Data from the CMS NPPES public registry.