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Active NPI 1891829222 Individual Practitioner Male Practitioner

Miteshkumar N Modi , PA-C

Physician Assistant • Marion, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Miteshkumar Modi, PA-C is a certified Physician Assistant practicing in Marion, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Miteshkumar Modi delivers high-quality medical care to the local community at 2401 W MAIN ST.

Miteshkumar Modi maintains professional affiliations with Access Community Health Network, Physicians Home Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2401 W Main St

Marion, IL 629591188

Telephone 6189975311
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1750349429

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Marion, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +9.1 yrs vs City Avg
City Avg: 11.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Marion, IL (4958 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modi (21 Years) 21 Yrs
Marion Specialty Average (11.9 Years) 11.9 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
61 23 $190.00 $110.00
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
47 28 $275.00 $160.13
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
37 13 $130.00 $91.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
21 19 $65.00 $46.89
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
19 16 $50.00 $36.67

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.

Hospital & Practice Group Affiliations

Physicians Home Care Llc

1508 Bloomingdale Rd, Glendale Heights, IL 601392758

Phone: 3318716674

Physicians Home Care Llc

2100 Manchester Rd C -, Wheaton, IL 601875098

Access Community Health Network

7450 W 63rd St, Summit, IL 605011816

Phone: 7084580757

Physicians Home Care Llc

2100 Manchester Rd, Wheaton, IL 601875098

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jenny Armendarez

Technician - Attendant Care Provider

NPI 1003467481
NPI 1003672486

REGISTEREDNURSE

Tameeka Marvin

Registered Nurse

NPI 1013613397
Bobbie Emery , RN

Registered Nurse - Ambulatory Care

NPI 1013615806

Registered Nurse

Lesli Noto , RN

Registered Nurse - Oncology

NPI 1013616770

Registered Nurse

Adrienne Franks

Registered Nurse

NPI 1013617604

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189975311)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9835 GARDEN CT, SCHILLER PARK, IL 601762101 (Tel: 8476710521)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MITESHKUMAR MODI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

🟢
Initial NPI Registration & Enumeration March 15, 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: 1891829222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

9835 Garden Ct

Schiller Park, IL 601762101

Phone: 8476710521

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.