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ANAR ASHWINBHAI MODI MD
NPI 1972858785
Internal Medicine - Endocrinology, Diabetes & Metabolism in Waldorf, MD

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
10 SAINT PATRICKS DR, WALDORF, MD 20603(301) 705-7870 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anar Ashwinbhai Modi Md NPPES

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

ANAR ASHWINBHAI MODI MD (NPI 1972858785) is an individual endocrinology, diabetes & metabolism provider in Waldorf, Maryland, licensed in Maryland (D0082827) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Md Charles Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972858785
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameANAR ASHWINBHAI MODICredential: MD
Location Address10 SAINT PATRICKS DRWaldorf, MD 20603-4527
Mailing Address10 Saint Patricks DrWaldorf, MD 20603-4527 · (301) 705-7870
Phone(301) 705-7870
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 18, 2012
Last NPPES UpdateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
✔ NPI 1972858785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MD · D0082827
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10 SAINT PATRICKS DR, Waldorf, MD 20603
Open in Google Maps ↗

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

Anar Ashwinbhai Modi Md 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 ID6800169244
PECOS Enrollment IDI20170906001453, I20170906001691
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 11

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,356 services702 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
758 services436 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
167 services144 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
149 services131 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
139 services120 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
128 services128 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Promoting Interoperability96
Improvement Activities40
Cost74.97

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
41 suppliers173 claims542 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
28 suppliers70 claims110 services$1.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
31 suppliers323 claims326 services$192.03 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
19 suppliers21 claims21 services$184.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MR. MOENIL PATEL
Nurse Practitioner (Family)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
MR. DAVID GROSSMAN P.T.
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-6717
CHRISTOPHER TODD WOGAMON LAT, ATC
Specialist/Technologist (Athletic Trainer)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (240) 561-2933
FIRAS AL SAMMARRAI M.B.CH.B.
Internal Medicine (Nephrology)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
DR. ALEX RYZHIKOV MD
Internal Medicine (Cardiovascular Disease)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 705-7870
KATELYN SOUTHWICK DPT
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-7366
CHRISTINA LIN MD
Pain Medicine (Interventional Pain Medicine)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
ROHIT V PATIL
Urology
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900

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 Anar Modi's NPI number?

The NPI number for Anar Modi is 1972858785. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Anar Modi located?

Anar Modi practices at 10 Saint Patricks Dr, Waldorf, MD 20603. The listed phone number is (301) 705-7870.

What is Anar Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Anar Modi enrolled in Medicare?

Yes. Anar 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.

Is Anar Modi affiliated with any hospitals?

According to CMS data, Anar Modi is affiliated with University Of MD Charles Regional Medical Center and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Anar Modi was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.