SUJAL HEMANT MODI MD NPI 1184068561

NPI Information

  • NPI: 1184068561
  • Provider Name: SUJAL HEMANT MODI, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 720 ESKENAZI AVE
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 880-7666

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NPI Details

Sujal Hemant Modi, MD is a cardiovascular disease internal medicine in Indianapolis, IN with 17 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Sujal Hemant Modi, MD NPI is 1184068561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202-187
Phone: (317) 880-7666
Fax: (317) 880-0448

The NPI 1184068561 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 enumeration date for this NPI number is 4/29/2013 and was last updated on 3/14/2025.

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
1207R00000XInternal Medicine01090483AINDIANANo
2207RA0001XInternal MedicineAdvanced Heart Failure and Transplant Cardiology01090483AINDIANANo
3207RC0000XInternal MedicineCardiovascular DiseaseMD467708PENNSYLVANIANo
4207RC0000XInternal MedicineCardiovascular Disease01090483AINDIANAYes

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
1300081931MEDICAIDINDIANA
21102845520OTHERINDIANAANTHEM PTAN

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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