Sunil Modi, M.D.
NPI 1811195365 · Family Medicine Physician · Allen, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunil Modi, M.D. is a Family Medicine Physician provider in Allen, TX (NPI 1811195365).
Provider details
- NPI number
- 1811195365
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- P4084 (TX)
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
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
633 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 245 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 137 | $77 |
| Advance Care Planning, First 30 Minutes99497 | 75 | $79 |
| Test for Balance and Posture92548 | 60 | $45 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 59 | $124 |
| Administration of Influenza Virus VaccineG0008 | 29 | $31 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 61 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 170 | 79 |
| Levothyroxine Sodium | 142 | 58 |
| Metformin Hcl | 108 | 48 |
| Amlodipine Besylate | 81 | 35 |
| Losartan Potassium | 74 | 33 |
| Rosuvastatin Calcium | 71 | 34 |
| Semaglutide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$772 across 38 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
Registry dates
- Enumerated
- 2007-07-06
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Frequently asked questions
- What is Sunil Modi's NPI number?
- Sunil Modi's National Provider Identifier (NPI) is 1811195365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunil Modi's specialty?
- Sunil Modi is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sunil Modi located?
- Sunil Modi's practice location on file with NPPES is 940 Ridgeview Dr Ste 150, Allen, TX 75013-5544.
- What is Sunil Modi's phone number?
- The practice phone number listed in the NPPES registry for Sunil Modi is (972) 672-4121.
- Does Sunil Modi accept Medicare?
- Sunil Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunil Modi's NPI active?
- Yes — Sunil Modi's NPI (1811195365) is active in the NPPES registry as of the last update on 2020-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.