DR. ACHAL PANKAJ MODI MD NPI 1255540514

NPI Information

  • NPI: 1255540514
  • Provider Name: DR. ACHAL PANKAJ MODI, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4440 E HIGHWAY 287
    MIDLOTHIAN, TX
    ZIP 76065
  • Phone: (972) 938-8526

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NPI Details

DR. Achal Pankaj Modi, MD is an urology in Midlothian, TX with 20 years of experience. The provider is 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. DR. Achal Pankaj Modi, MD NPI is 1255540514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

4440 E HIGHWAY 287
MIDLOTHIAN, TX
ZIP 76065-576
Phone: (972) 938-8526
Fax: (972) 709-5920

The NPI 1255540514 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Bacterial colony count, urine (HCPCS:87086)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Bacterial culture for aerobic isolates (HCPCS:87077)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Bacterial urine culture (HCPCS:87088)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Complicated insertion of bladder tube (HCPCS:51703)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • Biopsy of prostate gland (HCPCS:55700)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/22/2007 and was last updated on 11/26/2019.

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
1208800000XUrology57012170OHIONo
2208800000XUrologyN9270TEXASYes

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
1282992104OTHERTEXASMEDICAID OTHER
2282992103MEDICAIDTEXAS
3282992105MEDICAIDTEXAS

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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