KRISHNA DIPAK MODI DO
NPI 1982223558
Family Medicine in Carol Stream, IL

Q: What is Krishna Modi's NPI number?

The NPI number for Krishna Modi is 1982223558. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Krishna Modi'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 Krishna Modi was last updated on September 22, 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 April 13, 2020PECOS EnrolledAccepts Medicare Assignment

84.37/100

CMS Quality Rating

630 E NORTH AVE, CAROL STREAM, IL 60188(630) 458-5300 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2020, Apr 13, 2020 (2 updates tracked since 2020).

On this page

About Krishna Dipak Modi Do NPPES

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

KRISHNA DIPAK MODI DO (NPI 1982223558) is an individual family medicine provider in Carol Stream, Illinois, licensed in Illinois (036163060) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1982223558

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKRISHNA DIPAK MODICredential: DO

Location Address630 E NORTH AVECarol Stream, IL 60188-2127

Mailing Address630 E North AveCarol Stream, IL 60188-2127 · (630) 458-5300

Phone(630) 458-5300

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2020

Enumeration DateApril 13, 2020

Last NPPES UpdateSeptember 22, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2023

✔ NPI 1982223558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036163060

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.

630 E NORTH AVE, Carol Stream, IL 60188

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Krishna Dipak Modi Do 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 ID749602936

PECOS Enrollment IDI20231106000991

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 2

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.

70 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140122

Location120 North Oak StHinsdale, IL 60521 · Du Page County

Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140292

Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60188 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

84.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

61.27

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 16

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

FRANK C CHAO MD

Family Medicine

630 E NORTH AVE, DEPT OF FAMILY PRACTICE
CAROL STREAM, IL 60188

Dupage County (630) 458-5300

GUIDO GRASSO-KNIGHT M.D.

Family Medicine

630 E NORTH AVE
CAROL STREAM, IL 60188

Dupage County (630) 458-5300

BARBARA C KOPCHAK

Nurse Practitioner

630 E NORTH AVE
CAROL STREAM, IL 60188

Dupage County (630) 861-6663

MRS. LYDIA E ODELL MSN, FNP-BC

Nurse Practitioner (Family)

630 E NORTH AVE
CAROL STREAM, IL 60188

Dupage County (630) 861-6663

DR. JAMES H KIM MD

Obstetrics & Gynecology

630 E NORTH AVE, DEPT OF OB GYN
CAROL STREAM, IL 60188

Dupage County (630) 458-5300

CHONG-HSIANG LIANG MD

Obstetrics & Gynecology

630 E NORTH AVE, DEPT OF OB GYN
CAROL STREAM, IL 60188

Dupage County (630) 458-5300

RISHIKESH SAVALIYA

Family Medicine

630 E NORTH AVE
CAROL STREAM, IL 60188

Dupage County (630) 458-5300

DR. BRETT CHAMERNIK M.D.

Orthopaedic Surgery

630 E NORTH AVE
CAROL STREAM, IL 60188

Dupage County (630) 458-5300

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 Krishna Modi's NPI number?

The NPI number for Krishna Modi is 1982223558. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Krishna Modi located?

Krishna Modi practices at 630 E North Ave, Carol Stream, IL 60188. The listed phone number is (630) 458-5300.

What is Krishna Modi's specialty?

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

Is Krishna Modi enrolled in Medicare?

Yes. Krishna 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.

What insurance does Krishna Modi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Krishna Modi 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 Krishna Modi affiliated with any hospitals?

According to CMS data, Krishna Modi is affiliated with Adventist Hinsdale Hospital, Alexian Brothers Medical Center 1 and Uchicago Medicine Adventhealth Glenoaks.

When was this NPI record last updated?

The NPPES record for Krishna Modi was last updated on September 22, 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.