ROSHAN Y MODI MD
NPI 1992096739
Radiology - Diagnostic Radiology in Newark, DE

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON ROAD, NEWARK, DE 19718(302) 733-1806(302) 733-1068 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2019, Jul 27, 2017, Jul 11, 2017 (3 updates tracked since 2017).

About Roshan Y Modi Md NPPES

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

ROSHAN Y MODI MD (NPI 1992096739) is an individual diagnostic radiology provider in Newark, Delaware, licensed in Delaware (C10012126) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1992096739
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameROSHAN Y MODICredential: MD
Location Address4755 OGLETOWN STANTON ROADNewark, DE 19718-2200
Mailing Address200 Hygeia Dr Ste 2300Newark, DE 19713-2049
Fax(302) 733-1068
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 27, 2011
Last NPPES UpdateSeptember 11, 20193 updates tracked since enumeration
NPI 1992096739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in DE · C10012126 Licensed in NJ · 25MA10435800
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4755 OGLETOWN STANTON ROAD, Newark, DE 19718

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

Roshan Y 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 ID8123323227
PECOS Enrollment IDI20170724002475, I20170724003072
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 71

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,251 services23 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,015 services849 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
826 services790 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
213 services208 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
213 services209 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
152 services152 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
Hospitalist
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Clinical Nurse Specialist (Neonatal)
4755 OGLETOWN STANTON ROAD, NEONATAL INTENSIVE CARE UNIT
NEWARK, DE 19718
Hospitalist
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON ROAD, CHRISTIANA CARE HOSPITAL
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON ROAD, SUITE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON ROAD, 3RD FLOOR
NEWARK, DE 19718

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 Roshan Modi's NPI number?

The NPI number for Roshan Modi is 1992096739. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Roshan Modi located?

Roshan Modi practices at 4755 Ogletown Stanton Road, Newark, DE 19718. The listed phone number is (302) 733-1806.

What is Roshan Modi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Roshan Modi enrolled in Medicare?

Yes. Roshan 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 Roshan Modi affiliated with any hospitals?

According to CMS data, Roshan Modi is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Roshan Modi was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.