Sujal Modi, MD
NPI 1184068561 · Cardiovascular Disease Physician · Indianapolis, IN
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sujal Modi, MD is a Cardiovascular Disease Physician provider in Indianapolis, IN (NPI 1184068561).
Provider details
- NPI number
- 1184068561
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01090483A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
551 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 | 108 | $73 |
| Evaluation of Lower Heart Chamber Assist Device93750 | 102 | $36 |
| Critical Care, First 30-74 Minutes99291 | 72 | $196 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 62 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 62 | $110 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mycophenolate Mofetil | 82 | 21 |
| Spironolactone | 52 | 16 |
| Tacrolimus | 51 | 17 |
| Atorvastatin Calcium | 50 | 15 |
| Sirolimus | 46 | 11 |
| Rosuvastatin Calcium | 35 | — |
| Sacubitril/Valsartanbrand: Entresto | 33 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,296 across 16 records (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
Additional practice locations (3)
- 1701 N Senate BlvdIndianapolis, IN 46202-1239Phone: (888) 484-3258
- 1701 N Senate BlvdIndianapolis, IN 46202-1239Phone: (317) 962-2500Fax: (317) 962-2515
- 473 W 12th Ave Ste 200Columbus, OH 43210-1252Phone: (614) 292-4967
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Sujal Modi's NPI number?
- Sujal Modi's National Provider Identifier (NPI) is 1184068561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sujal Modi's specialty?
- Sujal Modi is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sujal Modi located?
- Sujal Modi's practice location on file with NPPES is 720 Eskenazi Ave, Indianapolis, IN 46202-5187.
- What is Sujal Modi's phone number?
- The practice phone number listed in the NPPES registry for Sujal Modi is (317) 880-7666.
- Does Sujal Modi accept Medicare?
- Sujal Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sujal Modi's NPI active?
- Yes — Sujal Modi's NPI (1184068561) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.