Ronak Modi, M.D.
NPI 1417283219 · Gastroenterology Physician · Fountain Hill, PA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ronak Modi, M.D. is a Gastroenterology Physician provider in Fountain Hill, PA (NPI 1417283219).
Provider details
- NPI number
- 1417283219
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD454591 (PA)
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
16 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
769 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 | 95 | $123 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 87 | $240 |
| Study of Esophagus to Assess Movement91010 | 80 | $63 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 77 | $91 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 77 | $78 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
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 |
|---|---|---|
| Linaclotidebrand: Linzess | 169 | 32 |
| Omeprazole | 150 | 56 |
| Pantoprazole Sodium | 86 | 30 |
| Famotidine | 71 | 20 |
| Metoclopramide Hcl | 13 | — |
| Lactulose | 12 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$221 across 2 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
Registry dates
- Enumerated
- 2009-10-29
- Last updated
- 2016-11-17
Frequently asked questions
- What is Ronak Modi's NPI number?
- Ronak Modi's National Provider Identifier (NPI) is 1417283219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ronak Modi's specialty?
- Ronak Modi is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Ronak Modi located?
- Ronak Modi's practice location on file with NPPES is 701 Ostrum St, Fountain Hill, PA 18015-1155.
- What is Ronak Modi's phone number?
- The practice phone number listed in the NPPES registry for Ronak Modi is (484) 526-6545.
- Does Ronak Modi accept Medicare?
- Ronak Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ronak Modi's NPI active?
- Yes — Ronak Modi's NPI (1417283219) is active in the NPPES registry as of the last update on 2016-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.