Maryanne Modrak, MD
NPI 1790778876 · Internal Medicine Physician · Johnson City, NY
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryanne Modrak, MD is a Internal Medicine Physician provider in Johnson City, NY (NPI 1790778876).
Provider details
- NPI number
- 1790778876
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 162487-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2015-12-09
Frequently asked questions
- What is Maryanne Modrak's NPI number?
- Maryanne Modrak's National Provider Identifier (NPI) is 1790778876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryanne Modrak's specialty?
- Maryanne Modrak is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Maryanne Modrak located?
- Maryanne Modrak's practice location on file with NPPES is 507 Main St, Johnson City, NY 13790-1810.
- What is Maryanne Modrak's phone number?
- The practice phone number listed in the NPPES registry for Maryanne Modrak is (607) 763-8008.
- Does Maryanne Modrak accept Medicare?
- Maryanne Modrak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maryanne Modrak's NPI active?
- Yes — Maryanne Modrak's NPI (1790778876) is active in the NPPES registry as of the last update on 2015-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.