Pooja Modi, MD
NPI 1891225504 · Internal Medicine Physician · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pooja Modi, MD is a Internal Medicine Physician provider in Fort Wayne, IN (NPI 1891225504).
Provider details
- NPI number
- 1891225504
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4301112544 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 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
516 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 322 | $73 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 96 | $110 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 87 | $106 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 11 | $75 |
Typical Medicare-allowed amounts for these services range $73–$110 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 27 | 27 |
| Levofloxacin | 26 | 25 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 18 | 18 |
| Cephalexin | 14 | 13 |
| Pantoprazole Sodium | 14 | 13 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 11 | 11 |
| Oxycodone Hcl |
Practice location
Mailing address
Additional practice locations (1)
- 18101 Oakwood BlvdDearborn, MI 48124-4089Phone: (313) 593-7000
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Frequently asked questions
- What is Pooja Modi's NPI number?
- Pooja Modi's National Provider Identifier (NPI) is 1891225504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pooja Modi's specialty?
- Pooja Modi is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pooja Modi located?
- Pooja Modi's practice location on file with NPPES is 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701.
- What is Pooja Modi's phone number?
- The practice phone number listed in the NPPES registry for Pooja Modi is (260) 672-6620.
- Does Pooja Modi accept Medicare?
- Pooja Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pooja Modi's NPI active?
- Yes — Pooja Modi's NPI (1891225504) is active in the NPPES registry as of the last update on 2023-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.