RAJ MODI M.D. P.C
NPI 1952606774
Ophthalmology in Ridgewood, NY
About Raj Modi M.d. P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJ MODI M.D. P.C (NPI 1952606774) is a healthcare organization registered as an ophthalmology in Ridgewood, New York and active in the NPI registry since January 2011. The organization lists Rajendra Modi, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raj Modi M.d. P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Raj Modi M.D. P.C, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Raj Modi M.D. P.C's NPI number?
The NPI number for Raj Modi M.D. P.C is 1952606774. It was assigned to this organization in the NPPES registry on January 26, 2011.
Where is Raj Modi M.D. P.C located?
Raj Modi M.D. P.C is located at 55 44 Metropolitan Ave., Ridgewood, NY 11385. The listed phone number is (718) 456-2020.
What is Raj Modi M.D. P.C's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Raj Modi M.D. P.C enrolled in Medicare?
Yes. Raj Modi M.D. P.C is registered in the Medicare PECOS enrollment system.
When is Raj Modi M.D. P.C's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Raj Modi M.D. P.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Raj Modi M.D. P.C. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Raj Modi M.D. P.C accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Raj Modi M.D. P.C 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 Raj Modi M.D. P.C was last updated on June 14, 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.
# Raj Modi M.d. P.c · NPI 1952606774
Ophthalmology organization in Ridgewood, New York. Organization record, active in the CMS NPPES registry since January 26, 2011.
## Identity
- **NPI:** 1952606774 (Entity type: Organization)
- **Enumerated:** January 26, 2011
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Rajendra Modi, PHYSICIAN
## Practice location
- **Address:** 55 44 METROPOLITAN AVE., Ridgewood, NY 11385-1221
- **Phone:** (718) 456-2020 · **Fax:** (718) 821-5342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2011
- **Other identifiers:** Other 738B51 (NY); Other DS376 (NY); Medicare UPIN G100040481 (NY); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1952606774) · Data from the CMS NPPES public registry.