Dhruv Modi, MD
NPI 1891185815 · Internal Medicine Physician · Fayetteville, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dhruv Modi, MD is a Internal Medicine Physician provider in Fayetteville, GA (NPI 1891185815).
Provider details
- NPI number
- 1891185815
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME130877 (FL)
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
11 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
2,053 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 957 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 371 | $123 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 344 | $115 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 126 | $164 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 110 | $123 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Calcitriol | 214 | 79 |
| Losartan Potassium | 194 | 66 |
| Nifedipinebrand: Nifedipine Er | 181 | 60 |
| Amlodipine Besylate | 174 | 81 |
| Hydralazine Hcl | 164 | 62 |
| Furosemide | 104 | 37 |
| Lisinopril | 90 | 33 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$691 across 46 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)
- 795 Poplar Rd Ste 403Newnan, GA 30265-2582Phone: (470) 683-6020
Registry dates
- Enumerated
- 2015-01-29
- Last updated
- 2025-09-11
- Certified
- 2023-09-22
Frequently asked questions
- What is Dhruv Modi's NPI number?
- Dhruv Modi's National Provider Identifier (NPI) is 1891185815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dhruv Modi's specialty?
- Dhruv Modi is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dhruv Modi located?
- Dhruv Modi's practice location on file with NPPES is 1267 Highway 54 W Ste 5400, Fayetteville, GA 30214-2113.
- What is Dhruv Modi's phone number?
- The practice phone number listed in the NPPES registry for Dhruv Modi is (678) 817-5542.
- Does Dhruv Modi accept Medicare?
- Dhruv Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dhruv Modi's NPI active?
- Yes — Dhruv Modi's NPI (1891185815) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.