Simple Modi, MD
NPI 1487182812 · Rheumatology Physician · Hampton, VA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Simple Modi, MD is a Rheumatology Physician provider in Hampton, VA (NPI 1487182812).
Provider details
- NPI number
- 1487182812
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101276540 (VA)
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
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
859 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 300 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 248 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 202 | $137 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 41 | $127 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 30 | $174 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 265 | 86 |
| Prednisone | 219 | 100 |
| Hydroxychloroquine Sulfate | 126 | 46 |
| Tizanidine Hcl | 106 | 35 |
| Gabapentin | 105 | 26 |
| Adalimumabbrand: Humira(cf) Pen | 105 | 15 |
| Allopurinol | 103 |
Practice location
Mailing address
Additional practice locations (1)
- 1500 Lansdowne AveDarby, PA 19023-1200Phone: (610) 237-4000
Registry dates
- Enumerated
- 2017-05-30
- Last updated
- 2022-09-21
- Certified
- 2022-08-11
Frequently asked questions
- What is Simple Modi's NPI number?
- Simple Modi's National Provider Identifier (NPI) is 1487182812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simple Modi's specialty?
- Simple Modi is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Simple Modi located?
- Simple Modi's practice location on file with NPPES is 4001 Coliseum Dr Ste 310a, Hampton, VA 23666-6257.
- What is Simple Modi's phone number?
- The practice phone number listed in the NPPES registry for Simple Modi is (757) 736-2540.
- Does Simple Modi accept Medicare?
- Simple Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Simple Modi's NPI active?
- Yes — Simple Modi's NPI (1487182812) is active in the NPPES registry as of the last update on 2022-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.