Harshil Modi
NPI 1639759020 · Family Medicine Physician · Walnut Creek, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Harshil Modi is a Family Medicine Physician provider in Walnut Creek, CA (NPI 1639759020).
Provider details
- NPI number
- 1639759020
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- A192164 (CA)
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
5 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
18 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 18 | $170 |
Typical Medicare-allowed amounts for these services range $170–$170 (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 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 51 | 19 |
| Amlodipine Besylate | 37 | 11 |
| Metformin Hcl | 34 | — |
| Lisinopril | 27 | — |
| Tamsulosin Hcl | 25 | — |
| Empagliflozinbrand: Jardiance | 22 | — |
| Losartan Potassium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-10
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Frequently asked questions
- What is Harshil Modi's NPI number?
- Harshil Modi's National Provider Identifier (NPI) is 1639759020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Harshil Modi's specialty?
- Harshil Modi is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Harshil Modi located?
- Harshil Modi's practice location on file with NPPES is 215 Lennon Ln Ste 200, Walnut Creek, CA 94598-2543.
- What is Harshil Modi's phone number?
- The practice phone number listed in the NPPES registry for Harshil Modi is (925) 685-4224.
- Does Harshil Modi accept Medicare?
- Harshil Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Harshil Modi's NPI active?
- Yes — Harshil Modi's NPI (1639759020) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.