Anita Modi
NPI 1205216819 · Infectious Disease Physician · Cleveland, OH
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anita Modi is a Infectious Disease Physician provider in Cleveland, OH (NPI 1205216819).
Provider details
- NPI number
- 1205216819
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
472 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 387 | $112 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 42 | $159 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 17 | $137 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 15 | $172 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 11 | $86 |
Typical Medicare-allowed amounts for these services range $86–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 67 | 11 |
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 33 | — |
| Vancomycin Hcl | 27 | — |
| Doxycycline Monohydrate | 18 | — |
| Valacyclovir Hclbrand: Valacyclovir | 17 | — |
| Acyclovir | 13 | — |
| Emtricitabine/Tenofov Alafenambrand: Descovy | 12 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2020-11-16
- Certified
- 2020-11-16
Frequently asked questions
- What is Anita Modi's NPI number?
- Anita Modi's National Provider Identifier (NPI) is 1205216819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anita Modi's specialty?
- Anita Modi is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Anita Modi located?
- Anita Modi's practice location on file with NPPES is 9500 Euclid Ave Ste G21, Cleveland, OH 44195-4405.
- What is Anita Modi's phone number?
- The practice phone number listed in the NPPES registry for Anita Modi is (216) 636-1873.
- Does Anita Modi accept Medicare?
- Anita Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anita Modi's NPI active?
- Yes — Anita Modi's NPI (1205216819) is active in the NPPES registry as of the last update on 2020-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.