Parth Modi
NPI 1073809398 · Urology Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Parth Modi is a Urology Physician provider in Chicago, IL (NPI 1073809398).
Provider details
- NPI number
- 1073809398
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 036152649 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
508 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 120 | $90 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 111 | $106 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 42 | $148 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 36 | $72 |
| Biopsy of Prostate Gland55700 | 30 | $147 |
| Ultrasonic Guidance for Needle Placement76942 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 28 | 15 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 16 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-24
- Last updated
- 2022-10-24
- Certified
- 2020-02-19
Frequently asked questions
- What is Parth Modi's NPI number?
- Parth Modi's National Provider Identifier (NPI) is 1073809398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Parth Modi's specialty?
- Parth Modi is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Parth Modi located?
- Parth Modi's practice location on file with NPPES is 5841 S Maryland Ave, Chicago, IL 60637-1443.
- What is Parth Modi's phone number?
- The practice phone number listed in the NPPES registry for Parth Modi is (888) 824-0200.
- Does Parth Modi accept Medicare?
- Parth Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Parth Modi's NPI active?
- Yes — Parth Modi's NPI (1073809398) is active in the NPPES registry as of the last update on 2022-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.