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LUCY ELIZABETH MODAHL MD PHD NPI 1902868730


NPI Information

NPI: 1902868730
Provider Name: LUCY ELIZABETH MODAHL, MD, PHD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
601 FRONT AVENUE
SUITE #502
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 415-0524
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Lucy Elizabeth Modahl, MD, PHD is a diagnostic radiology radiology in Coeur D Alene, ID with 23 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Lucy Elizabeth Modahl, MD, PHD NPI is 1902868730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

601 FRONT AVENUE
SUITE #502
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 415-0524
Fax: (208) 763-3644

The NPI 1902868730 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan chest (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 4/5/2006 and was last updated on 5/26/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyM9541IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13425955000OTHERKENTUCKYPASSPORT ADVANTAGE
23810010476OTHERVIRGINIAMEDICAID WV
350017558OTHERKENTUCKYPASSPORT
4PENDINGMEDICARE UPINIDAHO
5013540C19MEDICARE PINVIRGINIA
60053307MEDICARE PINKENTUCKY
71902868730MEDICAIDVIRGINIA
8MO7375991MEDICARE PINOHIO
9115250MEDICARE PINPENNSYLVANIA
102950085OTHERPENNSYLVANIAMEDICAL ASSISTANCE NY
11000000548186OTHERKENTUCKYANTHEM
121019687930001MEDICAIDPENNSYLVANIA
131019687830001OTHERPENNSYLVANIAMEDICAL ASSISTANCE PA
14101968783MEDICAIDPENNSYLVANIA
15115250-FLTMEDICARE PINPENNSYLVANIA
16016794P38MEDICARE PIN
17P00403958OTHERVIRGINIAMEDICARE RAILROAD
1891725OTHERKENTUCKYSIHO
197100025960MEDICAIDKENTUCKY
2000507011MEDICARE PINKENTUCKY

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.