Mamatha Modem, M.D
NPI 1528174943 · Geriatric Medicine (Internal Medicine) Physician · Dallas, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mamatha Modem, M.D is a Geriatric Medicine (Internal Medicine) Physician provider in Dallas, TX (NPI 1528174943).
Provider details
- NPI number
- 1528174943
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- License
- P1902 (TX)
Specialties & taxonomies
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
215 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 | 119 | $96 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 58 | $35 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 23 | $65 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 15 | $35 |
Typical Medicare-allowed amounts for these services range $35–$96 (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 · 93 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 580 | 178 |
| Atorvastatin Calcium | 435 | 165 |
| Metformin Hcl | 387 | 133 |
| Gabapentin | 364 | 99 |
| Lisinopril | 324 | 102 |
| Levothyroxine Sodium | 252 | 80 |
| Pantoprazole Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Frequently asked questions
- What is Mamatha Modem's NPI number?
- Mamatha Modem's National Provider Identifier (NPI) is 1528174943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mamatha Modem's specialty?
- Mamatha Modem is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Mamatha Modem located?
- Mamatha Modem's practice location on file with NPPES is 1400 N Westmoreland Rd, Dallas, TX 75211-1656.
- What is Mamatha Modem's phone number?
- The practice phone number listed in the NPPES registry for Mamatha Modem is (214) 266-0500.
- Does Mamatha Modem accept Medicare?
- Mamatha Modem is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mamatha Modem's NPI active?
- Yes — Mamatha Modem's NPI (1528174943) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.