Lopa Modi, MD
NPI 1669891917 · Anatomic Pathology & Clinical Pathology Physician · Englewood, NJ
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lopa Modi, MD is a Anatomic Pathology & Clinical Pathology Physician provider in Englewood, NJ (NPI 1669891917).
Provider details
- NPI number
- 1669891917
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA10622800 (NJ)
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,358 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 864 | $39 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 242 | $28 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 203 | $29 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 132 | $12 |
| Pathology Examination of Tissue Using a Microscope, Moderately High Complexity88307 | 101 | $84 |
| Evaluation of Fine Needle Aspirate With Interpretation and Report88173 | 98 | $72 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$124 across 6 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 (1)
- 7 Cain DrHillsborough, NJ 08844Phone: (908) 874-8078
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2019-08-20
Frequently asked questions
- What is Lopa Modi's NPI number?
- Lopa Modi's National Provider Identifier (NPI) is 1669891917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lopa Modi's specialty?
- Lopa Modi is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Lopa Modi located?
- Lopa Modi's practice location on file with NPPES is 350 Engle St, Englewood, NJ 07631-1808.
- What is Lopa Modi's phone number?
- The practice phone number listed in the NPPES registry for Lopa Modi is (201) 894-3000.
- Does Lopa Modi accept Medicare?
- Lopa Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lopa Modi's NPI active?
- Yes — Lopa Modi's NPI (1669891917) is active in the NPPES registry as of the last update on 2019-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.