Poonam Modha, MD
NPI 1679611842 · Psychiatry Physician · Warwick, RI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Poonam Modha, MD is a Psychiatry Physician provider in Warwick, RI (NPI 1679611842).
Provider details
- NPI number
- 1679611842
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD12839 (RI)
Specialties & taxonomies
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
13 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) |
|---|---|---|
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 13 | $176 |
Typical Medicare-allowed amounts for these services range $176–$176 (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.
Practice location
Mailing address
Additional practice locations (1)
- 345 Blackstone BlvdProvidence, RI 02906-4800Phone: (401) 455-6571Fax: (401) 455-6293
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Frequently asked questions
- What is Poonam Modha's NPI number?
- Poonam Modha's National Provider Identifier (NPI) is 1679611842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Poonam Modha's specialty?
- Poonam Modha is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Poonam Modha located?
- Poonam Modha's practice location on file with NPPES is 455 Toll Gate Rd, Warwick, RI 02886.
- What is Poonam Modha's phone number?
- The practice phone number listed in the NPPES registry for Poonam Modha is (401) 737-7010.
- Does Poonam Modha accept Medicare?
- Poonam Modha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Poonam Modha's NPI active?
- Yes — Poonam Modha's NPI (1679611842) is active in the NPPES registry as of the last update on 2025-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.