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Active NPI 1639370794 Individual Practitioner Female Practitioner

Tejal R. Modi , PA-C

Physician Assistant • Evanston, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tejal Modi, PA-C is a certified Physician Assistant practicing in Evanston, IL. With approximately 20 years of clinical experience since completing medical education in 2006, Tejal Modi delivers high-quality medical care to the local community at 2650 RIDGE AVE.

Tejal Modi maintains professional affiliations with Premise Health Of Illinois Medical Pc, Crystal Lake Immediate Care Physicians Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011718

Telephone 8475702111
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Evanston, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +11.2 yrs vs City Avg
City Avg: 8.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
77 Specialists

Practicing in Evanston, IL (4958 Statewide)

Telehealth Adoption Rate
16.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modi (20 Years) 20 Yrs
Evanston Specialty Average (8.8 Years) 8.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
33 33 $258.00 $102.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $407.00 $136.72

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Il State Lic
085-002793 (IL)

Hospital & Practice Group Affiliations

Premise Health Of Illinois Medical Pc

6150 Joliet Rd, Countryside, IL 605253956

Phone: 7084852273

Crystal Lake Immediate Care Physicians Ltd.

525 E Congress Pkwy, Crystal Lake, IL 600146271

Phone: 6263276795

Premise Health Of Illinois Medical Pc

4179 Dundee Rd, Northbrook, IL 600622129

Phone: 8474022300

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1124651492

APNCNP

NPI 1497620504

Doctor of Medicine (M.D.)

Dr. Daniel Castillo , MD

Emergency Medicine

NPI 1629249453

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2016

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011718 (Tel: 8475702111)

📍
Updated Business Mailing Address June 13, 2016

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011718

👤
Provider Name / Credentials Updated June 13, 2016

Recorded as TEJAL MODI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 29, 2007

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: 1639370794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: June 13, 2016
Sole Proprietor: No

Mailing Address

2650 Ridge Ave

Evanston, IL 602011718

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.