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Deactivated NPI 1902806276 Deactivated / Inactive NPI Male Practitioner

Dr. Robert O Modarelli , MD

Urology • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Modarelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2005
NPI Deactivation Date July 26, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Modarelli, MD was a registered Urology practicing in Tacoma, WA. Throughout an active medical career spanning 13 years, Dr. Modarelli provided care at the practice location at 1624 S I ST until profile deactivation on 2018-07-26.

Practice Location & Contact Primary Location

Practice Address

1624 S I St
Ste 204

Tacoma, WA 984055016

Telephone 2532728441
Fax 2537799934
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
31 Specialists

Practicing in Tacoma, WA (351 Statewide)

Telehealth Adoption Rate
41.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD00014207

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1174528368

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 26, 2018

Record deactivated on July 26, 2018

NPI Profile Active December 22, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2009

Registered at 1624 S I ST, STE 204, TACOMA, WA 984055016 (Tel: 2532728441)

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Updated Business Mailing Address December 22, 2009

Registered at 1624 S I ST, STE 204, TACOMA, WA 984055016 (Tel: 2532728441)

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Provider Name / Credentials Updated December 22, 2009

Recorded as ROBERT MODARELLI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2009

Urology (License #MD00014207 in WA)

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Initial NPI Registration & Enumeration July 28, 2005

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: 1902806276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: December 22, 2009
Deactivation Date: July 26, 2018

Mailing Address

1624 S I St, Ste 204

Tacoma, WA 984055016

Phone: 2532728441

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

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