Payal Modhia, M.D.
NPI 1083961072 · Internal Medicine Physician · Albuquerque, NM
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Payal Modhia, M.D. is a Internal Medicine Physician provider in Albuquerque, NM (NPI 1083961072).
Provider details
- NPI number
- 1083961072
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD2014-0753 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
598 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 363 | $76 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 67 | $109 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 50 | $48 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 42 | $163 |
| Advance Care Planning, First 30 Minutes99497 | 40 | $72 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 24 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 43 | 23 |
| Amlodipine Besylate | 29 | 17 |
| Apixabanbrand: Eliquis | 26 | 15 |
| Levetiracetam | 25 | — |
| Levothyroxine Sodium | 21 | — |
| Clopidogrel Bisulfatebrand: Clopidogrel | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$25 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2024-02-03
- Certified
- 2024-02-03
Frequently asked questions
- What is Payal Modhia's NPI number?
- Payal Modhia's National Provider Identifier (NPI) is 1083961072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Payal Modhia's specialty?
- Payal Modhia is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Payal Modhia located?
- Payal Modhia's practice location on file with NPPES is 1100 Central Ave Se Fl 4, Albuquerque, NM 87106-4930.
- What is Payal Modhia's phone number?
- The practice phone number listed in the NPPES registry for Payal Modhia is (505) 724-6124.
- Does Payal Modhia accept Medicare?
- Payal Modhia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Payal Modhia's NPI active?
- Yes — Payal Modhia's NPI (1083961072) is active in the NPPES registry as of the last update on 2024-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.