DR. ACHAL PANKAJ MODI (NPI# 1255540514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255540514 |
| Entity Type | Individual |
| Full Name | DR. ACHAL PANKAJ MODI |
| Credential | MD |
| Practice Address |
4440 E Highway 287 Midlothian TX 76065-5576 |
| Practice Telephone | 9729388526 |
| Practice Fax Number | 9727095920 |
| Mailing Telephone | 9729388526 |
| Mailing Fax Number | 9727095920 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | N9270 | TX | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 57012170 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID OTHER | 282992104 | 01 |
| TX | 282992103 | 05 | |
| TX | 282992105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538726849 | Achal Modi | Physical Therapist | 1432 5th Ave, New York, NY 10035-4521 | 2019-05-22 |
| Street Address |
4440 E HIGHWAY 287 |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205879855 | Charles Raymond Leach | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2006-06-13 |
| 1083143093 | Nguyet Anh Nguyen | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2017-06-05 |
| 1649618612 | Kristi Jean Garrett | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2013-06-11 |
| 1225388713 | Monica Leigh Talley-essex | Nurse Practitioner | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-09-12 |
| 1194075762 | Tamra Lei Boteler | Nutritionist | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-09-11 |
| 1851646491 | Kristen Michelle Bold | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-07-19 |
| 1043533664 | John Steven Hanley | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2010-03-10 |
| 1508097155 | Jay Pribble | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2009-07-30 |
| 1780850099 | Charlie Ruby D O P A | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2008-05-06 |
| 1396969176 | Earl C. Ruby | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305989 | Paul John Roberto | Urology | 6055 Harbour Park Drive, Midlothian, VA 23112-2160 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
| 1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
| 1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
| 1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.