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Active NPI 1083961072 Individual Practitioner Female Practitioner

Dr. Payal Urvij Modhia , MD

Internal Medicine • Albuquerque, NM

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Payal Modhia, MD is a registered Internal Medicine practitioner in Albuquerque, NM. With approximately 24 years of clinical practice since completing medical education in 2002, Dr. Modhia provides healthcare services at the registered practice location at 1100 CENTRAL AVE SE FL 4.

Dr. Modhia maintains professional affiliations with Aspire Healthcare Services Llc, Presbyterian Healthcare Services and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1100 Central Ave Se Fl 4
Pmg Hospitalist

Albuquerque, NM 871064930

Telephone 5057246124
Fax 5057246125
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Albuquerque, NM

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +6.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
450 Specialists

Practicing in Albuquerque, NM (808 Statewide)

Telehealth Adoption Rate
9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modhia (24 Years) 24 Yrs
Albuquerque Specialty Average (18.0 Years) 18.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
363 159 $154.41 $75.51
99239 Hospital discharge day management, more than 30 minutes
67 67 $188.37 $109.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes
50 27 $88.00 $47.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
42 42 $331.20 $163.47
99497 Advance care planning, first 30 minutes
40 40 $145.00 $72.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
24 18 $225.93 $114.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $298.00 $125.99

Medical Specialties & State Licenses

CMS Verified: 2024-02-03
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 125061482

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License NM MD2014-0753

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Aspire Healthcare Services Llc

11712 Beringer Ave Ne, Albuquerque, NM 871227101

Phone: 5058689180

Presbyterian Healthcare Services

1100 Central Ave Se, Albuquerque, NM 871064930

Phone: 5058411234

Practice Associates & Co-Workers

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

40 Associated Practitioners
Audra Clemens , PA-C

Physician Assistant

NPI 1003062738

Physician Assistant (Certified)

Dr. Alejandro Fierro , MD

Internal Medicine

NPI 1013545672

Doctor of Medicine (M.D.)

Moriah Carty , PA

Physician Assistant

NPI 1043978372

Physician Assistant

Dr. Yuki Sakai , MD

Internal Medicine

NPI 1053726844

Doctor of Medicine (M.D.)

Jiajia Yang

Internal Medicine

NPI 1063153278
Dr. Cynthia Valdez , MD

Internal Medicine

NPI 1063506459

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2024

Hospitalist (License #MD2014-0753 in NM)

NPI Profile Active June 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2015

Registered at 1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST, ALBUQUERQUE, NM 871064930 (Tel: 5057246124)

📍
Updated Business Mailing Address June 15, 2015

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

👤
Provider Name / Credentials Updated June 15, 2015

Recorded as PAYAL MODHIA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2015

Internal Medicine (License #125061482 in IL)

🟢
Initial NPI Registration & Enumeration August 08, 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: 1083961072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2012
Last Update: February 03, 2024
Sole Proprietor: No

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Phone: 5059236770

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.