DR. TEJAL MODY M.D. NPI 1417110461

NPI Information

  • NPI: 1417110461
  • Provider Name: DR. TEJAL MODY, M.D.
  • Classification: Radiology - 2085P0229X
  • Specialization: Pediatric Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 APPLIED BANK BLVD STE 11
    NEMOURS DUPONT PEDIATRICS, GLEN MILLS
    GLEN MILLS, PA
    ZIP 19342
  • Phone: (484) 800-8630

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NPI Details

DR. Tejal Mody, M.D. is a pediatric radiology radiology in Glen Mills, PA with 26 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. DR. Tejal Mody, M.D. NPI is 1417110461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 APPLIED BANK BLVD STE 11
NEMOURS DUPONT PEDIATRICS, GLEN MILLS
GLEN MILLS, PA
ZIP 19342-501
Phone: (484) 800-8630
Fax: (484) 800-8635

The NPI 1417110461 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 7/9/2008 and was last updated on 2/23/2017.

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
12085P0229XRadiologyPediatric RadiologyC10011787DELAWARENo
22085P0229XRadiologyPediatric Radiology25MA10023300NEW JERSEYNo
32085P0229XRadiologyPediatric RadiologyMD459411PENNSYLVANIAYes
42085P0229XRadiologyPediatric RadiologyME118748FLORIDANo
52085R0202XRadiologyDiagnostic RadiologyME118748FLORIDANo
62085R0202XRadiologyDiagnostic RadiologyP7163TEXASNo

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
1HX185XMEDICARE PINFLORIDA
2HX185ZMEDICARE PINFLORIDA
3HX185YMEDICARE PINFLORIDA

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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