DR. PAUL STEVEN MODLINGER M.D. NPI 1053405688

NPI Information

  • NPI: 1053405688
  • Provider Name: DR. PAUL STEVEN MODLINGER, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3930 WALNUT STREET
    SUITE 101
    FAIRFAX, VA
    ZIP 22030
  • Phone: (703) 246-9246

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NPI Details

DR. Paul Steven Modlinger, M.D. is a nephrology internal medicine in Fairfax, VA with 29 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Paul Steven Modlinger, M.D. NPI is 1053405688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

3930 WALNUT STREET
SUITE 101
FAIRFAX, VA
ZIP 22030-738
Phone: (703) 246-9246
Fax: (703) 246-9257

The NPI 1053405688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Dialysis procedure including 1 evaluation (HCPCS:90945)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 2/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology0101236049VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010085721MEDICAIDVIRGINIA
2010085811MEDICAIDVIRGINIA
3010083753MEDICAIDVIRGINIA
4010085683MEDICAIDVIRGINIA
5010085837MEDICAIDVIRGINIA
6010085870MEDICAIDVIRGINIA
7010085918MEDICAIDVIRGINIA
82128905OTHERMAMSI
947430007OTHERCAREFIRST
10010083770MEDICAIDVIRGINIA
11010085829MEDICAIDVIRGINIA
12010085691MEDICAIDVIRGINIA
13010124743MEDICAIDVIRGINIA
14H12340MEDICARE UPIN
159202002OTHERCIGNA
16015252V63MEDICARE ID-TYPE UNSPECIFIED
17010085934MEDICAIDVIRGINIA
18010085845MEDICAIDVIRGINIA
19010184983MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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