Sunjay Modi
NPI 1609371855 · Allergy & Immunology (Internal Medicine) Physician · Royal Oak, MI
Enrolled with Medicare as Practitioner - Allergy/Immunology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunjay Modi is a Allergy & Immunology (Internal Medicine) Physician provider in Royal Oak, MI (NPI 1609371855).
Provider details
- NPI number
- 1609371855
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4301508720 (MI)
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
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
3,121 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) |
|---|---|---|
| Test for Allergy Using Allergenic Extract95004 | 2,436 | $4 |
| Test for Allergy Using Allergenic Extract Injected Into Skin95024 | 501 | $8 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 85 | $88 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 57 | $164 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 42 | $38 |
Typical Medicare-allowed amounts for these services range $4–$164 (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 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azelastine Hcl | 83 | 48 |
| Prednisone | 76 | 51 |
| Fluticasone Propionate | 71 | 42 |
| Famotidine | 66 | 28 |
| Ipratropium Bromide | 36 | 23 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 27 | 14 |
| Montelukast Sodium | 27 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,147 across 103 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
Additional practice locations (3)
- 2799 W Grand BoulevardDetroit, MI 48202Phone: (313) 916-1888Fax: (313) 916-1394
- 3600 W 13 Mile RdRoyal Oak, MI 48073-6711Phone: (248) 549-0777Fax: (248) 549-5888
- 500 University DrHershey, PA 17033-2360Phone: (717) 531-0003
Registry dates
- Enumerated
- 2018-03-29
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Sunjay Modi's NPI number?
- Sunjay Modi's National Provider Identifier (NPI) is 1609371855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunjay Modi's specialty?
- Sunjay Modi is listed in the NPPES registry with a primary specialty of Allergy & Immunology (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Sunjay Modi located?
- Sunjay Modi's practice location on file with NPPES is 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711.
- What is Sunjay Modi's phone number?
- The practice phone number listed in the NPPES registry for Sunjay Modi is (248) 549-0777.
- Does Sunjay Modi accept Medicare?
- Sunjay Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunjay Modi's NPI active?
- Yes — Sunjay Modi's NPI (1609371855) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.