Nidhi Modi, MD
NPI 1386931129 · Neurology Physician · Lawrenceville, NJ
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nidhi Modi, MD is a Neurology Physician provider in Lawrenceville, NJ (NPI 1386931129).
Provider details
- NPI number
- 1386931129
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA09363500 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
821 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 604 | $136 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 66 | $104 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 48 | $175 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 39 | $191 |
| Assessment of and Care Planning for Patient With Impaired Thought Processing, Typically 60 Minutes99483 | 27 | $294 |
| Nerve Conduction, 9-10 Studies |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 47 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 258 | 75 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 202 | 65 |
| Memantine Hcl | 197 | 54 |
| Donepezil Hcl | 191 | 54 |
| Sertraline Hcl | 64 | 15 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa Er | 52 | 16 |
| Topiramate | 49 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$340 across 22 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 (1)
- 8 Forrestal Rd SPrinceton, NJ 08540-6658Phone: (609) 896-1701
Registry dates
- Enumerated
- 2011-06-30
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Frequently asked questions
- What is Nidhi Modi's NPI number?
- Nidhi Modi's National Provider Identifier (NPI) is 1386931129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nidhi Modi's specialty?
- Nidhi Modi is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Nidhi Modi located?
- Nidhi Modi's practice location on file with NPPES is 3120 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2325.
- What is Nidhi Modi's phone number?
- The practice phone number listed in the NPPES registry for Nidhi Modi is (609) 896-1701.
- Does Nidhi Modi accept Medicare?
- Nidhi Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nidhi Modi's NPI active?
- Yes — Nidhi Modi's NPI (1386931129) is active in the NPPES registry as of the last update on 2024-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.