OrganizationActive
Modoma Physical Medicine
NPI 1538564018 · Clinic/Center · Plano, TX
Modoma Physical Medicine is a Clinic/Center organization in Plano, TX (NPI 1538564018).
Provider details
- NPI number
- 1538564018
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Demarque, Medical Director(817) 308-8477
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
5301 Village Creek Dr
Suite B
Plano, TX 75093-4838
Phone: (972) 250-3443
Street-level locationGet directions
Mailing address
4020 N Macarthur Blvd
Irving, TX 75038-6419
Registry dates
- Enumerated
- 2014-10-27
- Last updated
- 2014-10-27
Frequently asked questions
- What is Modoma Physical Medicine's NPI number?
- Modoma Physical Medicine's National Provider Identifier (NPI) is 1538564018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modoma Physical Medicine?
- Modoma Physical Medicine is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modoma Physical Medicine located?
- Modoma Physical Medicine's practice location on file with NPPES is 5301 Village Creek Dr, Plano, TX 75093-4838.
- What is Modoma Physical Medicine's phone number?
- The practice phone number listed in the NPPES registry for Modoma Physical Medicine is (972) 250-3443.
- Who is the authorized official for Modoma Physical Medicine?
- The authorized official listed on Modoma Physical Medicine's NPPES record is Charles Demarque, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modoma Physical Medicine's NPI active?
- Yes — Modoma Physical Medicine's NPI (1538564018) is active in the NPPES registry as of the last update on 2014-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.