Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962762997 Individual Practitioner Female Practitioner

Dr. Pooja G Mody , DO

Surgery • Las Vegas, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pooja Mody, DO is a certified Surgery practicing in Las Vegas, NV. With approximately 14 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2012, Dr. Mody delivers high-quality medical care to the local community at 1524 PINTO LN FL 2.

Dr. Mody maintains professional affiliations with Jon S Williams Pllc, Kingman Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1524 Pinto Ln Fl 2

Las Vegas, NV 891064195

Telephone 7023833707
Fax 7023831982
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Las Vegas, NV

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -5.8 yrs vs City Avg
City Avg: 19.8 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
112 Specialists

Practicing in Las Vegas, NV (248 Statewide)

Telehealth Adoption Rate
13.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mody (14 Years) 14 Yrs
Las Vegas Specialty Average (19.8 Years) 19.8 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes
20 12 $150.81 $49.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 17 $378.38 $124.25

Medical Specialties & State Licenses

CMS Verified: 2026-05-13
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NV DO3284

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1710607221 (NV)
Medicaid State Provider ID
1962762997 (NV)

Hospital & Practice Group Affiliations

Kingman Healthcare Inc

3104 N Stockton Hill Rd, Kingman, AZ 864014183

Phone: 9286818720

Jon S Williams Pllc

6030 S Rainbow Blvd, Las Vegas, NV 891182548

Phone: 7023290229

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Carmen Flores , MD

Surgery - Surgical Critical Care

NPI 1174966576

Doctor of Medicine (M.D.)

Richelle Dampog

Nurse Practitioner - Family

NPI 1760009948
Elizebeth Mathew

Nurse Practitioner

NPI 1841982527

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location May 13, 2026

Registered at 1524 PINTO LN FL 2, LAS VEGAS, NV 891064195 (Tel: 7023833707)

📍
Updated Business Mailing Address May 13, 2026

Registered at 1800 W CHARLESTON BLVD, LAS VEGAS, NV 891022386 (Tel: 7023832799)

📍
Updated Practice Location July 16, 2024

Registered at 6030 S RAINBOW BLVD STE D2, LAS VEGAS, NV 891182548 (Tel: 7023290229)

📍
Updated Business Mailing Address July 16, 2024

Registered at 6030 S RAINBOW BLVD STE D2, LAS VEGAS, NV 891182548 (Tel: 7023290229)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2024

Surgery (License #DO3284 in NV)

📍
Updated Practice Location February 14, 2023

Registered at 693 N TOWN CENTER DRIVE, SUITE 506, LAS VEGAS, NV 89144 (Tel: 7024786393)

📍
Updated Business Mailing Address February 14, 2023

Registered at 693 N TOWN CENTER DRIVE, SUITE 506, LAS VEGAS, NV 89144 (Tel: 7024786393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2023

Surgery (License #C0154 in KY)

📍
Updated Business Mailing Address April 09, 2019

Registered at 715 ROANOKE AVE STE 1, RIVERHEAD, NY 119012769 (Tel: 6319634750)

NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2017

Registered at 715 ROANOKE AVE STE 1, RIVERHEAD, NY 119012769 (Tel: 6319634750)

📍
Updated Business Mailing Address October 27, 2017

Registered at 8351 266TH ST, FLORAL PARK, NY 110041724 (Tel: 7325890907)

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as POOJA MODY, D.O

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Surgery (License #291351-1 in NY)

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2012

Registered at 240 MEETING HOUSE LN, SOUTHAMPTON, NY 119685009 (Tel: 6317260409)

📍
Updated Business Mailing Address May 24, 2012

Registered at 19 BRIAN RD, EDISON, NJ 088172303 (Tel: 7325890907)

👤
Provider Name / Credentials Updated May 24, 2012

Recorded as POOJA MODY, D.O

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 24, 2012

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: 1962762997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2012
Last Update: May 13, 2026
Sole Proprietor: No

Mailing Address

1800 W Charleston Blvd

Las Vegas, NV 891022386

Phone: 7023832799

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.