Sanjiv Modi, MD
NPI 1396730909 · Hematology & Oncology Physician · Michigan City, IN
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjiv Modi, MD is a Hematology & Oncology Physician provider in Michigan City, IN (NPI 1396730909).
Provider details
- NPI number
- 1396730909
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036093810 (IL)
Specialties & taxonomies
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 tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
118 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 35 Minutes99232 | 97 | $73 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 21 | $121 |
Typical Medicare-allowed amounts for these services range $73–$121 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 4 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Abiraterone Acetate | 20 |
| Prednisone | 16 |
| Lenvatinib Mesylatebrand: Lenvima | 12 |
| Hydroxyurea | 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
Additional practice locations (2)
- 2375 S Ridgeview DrYuma, AZ 85364-8868Phone: (928) 317-2518Fax: (928) 317-1811
- 2614 W Jefferson StJoliet, IL 60435-6433Phone: (815) 725-1355Fax: (815) 725-9857
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Sanjiv Modi's NPI number?
- Sanjiv Modi's National Provider Identifier (NPI) is 1396730909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjiv Modi's specialty?
- Sanjiv Modi is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjiv Modi located?
- Sanjiv Modi's practice location on file with NPPES is 8955 W 400 N, Michigan City, IN 46360-9330.
- What is Sanjiv Modi's phone number?
- The practice phone number listed in the NPPES registry for Sanjiv Modi is (219) 861-5800.
- Does Sanjiv Modi accept Medicare?
- Sanjiv Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjiv Modi's NPI active?
- Yes — Sanjiv Modi's NPI (1396730909) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.