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Active NPI 1326457920 Individual Practitioner Female Practitioner

Angela Russell Modi , PA-C

Physician Assistant • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Angela Modi, PA-C is a registered healthcare professional specializing in Physician Assistant in Tampa, FL. Practice services are available at 5 TAMPA GENERAL CIR STE 410 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 Tampa General Cir Ste 410

Tampa, FL 336063578

Telephone 8138447473
Fax 8138441966
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
855 Specialists

Practicing in Tampa, FL (10376 Statewide)

Telehealth Adoption Rate
18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 15 $260.77 $69.51

Medical Specialties & State Licenses

CMS Verified: 2020-03-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9112371

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 085.005098

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Rebecca Klam , PsyD

Psychologist - Clinical

NPI 1003285289

Doctor of Psychology (Psy.D.)

Mackenzie Joyce , RD, LDN

Dietitian, Registered

NPI 1053037606

Registered Dietitian, Licensed Dietitian Nutritionist

Darragh Herlihy , NP

Nurse Practitioner

NPI 1124373576

Nurse Practitioner

Dr. Lindsay Wiles , MD

Family Medicine - Obesity Medicine

NPI 1154382059

Doctor of Medicine (M.D.)

Isabella Salas

Nurse Practitioner

NPI 1477308179
Amanda Musin

Dietitian, Registered

NPI 1487196960

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 12, 2020

Registered at 5 TAMPA GENERAL CIR STE 410, TAMPA, FL 336063578 (Tel: 8138447473)

📍
Updated Business Mailing Address March 12, 2020

Registered at PO BOX 1289, TAMPA, FL 336011289 (Tel: 8138447000)

👤
Provider Name / Credentials Updated March 12, 2020

Recorded as ANGELA MODI, PA-C

NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2016

Registered at 1401 E STATE ST, ROCKFORD, IL 611042315 (Tel: 4142906720)

📍
Updated Business Mailing Address April 01, 2016

Registered at 111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 532024815 (Tel: 4142906720)

👤
Provider Name / Credentials Updated April 01, 2016

Recorded as ANGELA RUSSELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Physician Assistant (License #085.005098 in IL)

🟢
Initial NPI Registration & Enumeration August 07, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326457920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2014
Last Update: March 12, 2020
Sole Proprietor: No

Mailing Address

Po Box 1289

Tampa, FL 336011289

Phone: 8138447000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.