MODNATH SANGROULA
NPI 1952900250
Family Medicine in Decatur, IN

Q: What is Modnath Sangroula's NPI number?

The NPI number for Modnath Sangroula is 1952900250. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Q: What is Modnath Sangroula's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Modnath Sangroula was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 19, 2020PECOS EnrolledAccepts Medicare Assignment

955 HIGH ST STE 1, DECATUR, IN 46733(260) 724-8551(260) 728-3858 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 8, 2023, Oct 19, 2020 (2 updates tracked since 2020).

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About Modnath Sangroula NPPES

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

MODNATH SANGROULA (NPI 1952900250) is an individual family medicine provider in Decatur, Indiana, licensed in Indiana (01089130A) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Bluffton Regional Medical Center, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1952900250

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMODNATH SANGROULA

Location Address955 HIGH ST STE 1Decatur, IN 46733-2361

Mailing Address955 High St Ste 1Decatur, IN 46733-2361 · (260) 724-8551 · Fax (260) 728-3858

Phone(260) 724-8551

Fax(260) 728-3858

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 19, 2020

Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2023

✔ NPI 1952900250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01089130A

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

955 HIGH ST STE 1, Decatur, IN 46733

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Secondary Practice Location 1

Location 14864 Jackson StMonroe, LA 71202-6400 · Phone (318) 330-7600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Modnath Sangroula 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 ID5698138501

PECOS Enrollment IDI20230824004165

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.

Hospital Affiliations CMS Care Compare 2

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

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150075

Location303 S Main StBluffton, IN 46714 · Wells County

Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN

OwnershipGovernment - Local

CMS Certification Number151330

Location1100 Mercer AveDecatur, IN 46733 · Adams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46733 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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 Modnath Sangroula's NPI number?

The NPI number for Modnath Sangroula is 1952900250. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Modnath Sangroula located?

Modnath Sangroula practices at 955 High St Ste 1, Decatur, IN 46733. The listed phone number is (260) 724-8551.

What is Modnath Sangroula's specialty?

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

Is Modnath Sangroula enrolled in Medicare?

Yes. Modnath Sangroula 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 Modnath Sangroula accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Modnath Sangroula 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 Modnath Sangroula affiliated with any hospitals?

According to CMS data, Modnath Sangroula is affiliated with Bluffton Regional Medical Center and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Modnath Sangroula was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.