Kanika Pravin Mody, M.D.
Advanced Heart Failure and Transplant Cardiology Physician · Hackensack, NJ
Kanika Pravin Mody, M.D. is an advanced heart failure and transplant cardiology physician with a practice address in Hackensack, New Jersey, and NPI 1891941449, issued on Aug 14, 2008. Check the license (New Jersey 25MA09537200, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Kanika Pravin Mody
- Credential
- M.D.
- Primary taxonomy
- Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X
- License numbers
- 25MA09537200 NJ
249685 NY
Self-reported in NPPES; status is on the state search - Practice location
- 20 Prospect Ave Ste 200, Hackensack, NJ 07601
- Phone
- (551) 996-4849
- Enumerated
- Aug 14, 2008
- Record last updated
- Jan 8, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (551) 996-8089
- Medicare enrollment
- Enrolled (PECOS I20140930000976); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest advanced heart failure and transplant cardiology physician records → All 25 in New Jersey → Look up another NPI →
Also registered at 20 Prospect Ave Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Robert Berkowitz, MDAdvanced Heart Failure and Transplant Cardiology Physician1437217973
Verify Kanika Pravin Mody in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA09537200Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
18% more Medicare Part D claims than the average advanced heart failure and transplant cardiology physician in 2024
2,311 Medicare Part D claims for 227 beneficiaries, against an average of 1,965 among the 1,124 providers of this specialty who prescribed in Part D. Brand-name drugs were 24% of claims.
Most prescribed
- Spironolactone198 claims
- Carvedilol170 claims
- Jardiance149 claims
- Metoprolol Succinate138 claims
- Entresto125 claims
- Eliquis121 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 75.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $36,445.93
72 payments; by number, the most common kind was food and beverage; the largest payer was Abiomed. The 1,027 providers of this specialty with any payment received $10,265.85 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Hackensack Meridian Health Medical Group - Specialty Care PCHackensack, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kanika Pravin Mody among 25 advanced heart failure and transplant cardiology physician records in New Jersey
Kanika Pravin Mody, M.D. is one of 25 advanced heart failure and transplant cardiology physician records with a practice address in New Jersey. 100% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 28% of them.
- NPI issued2008 · 28% of these records are older, 52% newer
- In a Medicare fileYes · 100% of these records are
- In the CMS Doctors and Clinicians fileYes · 92% of these records are
- Graduated2005 · median 2005 among the 23 with a school on file
- Record last updated2019 · 32% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RA0001X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Advanced Heart Failure and Transplant Cardiology Physician providers in New Jersey
There are 25 advanced heart failure and transplant cardiology physician records in New Jersey.
All 25 in New Jersey → Every provider in Hackensack → Advanced Heart Failure and Transplant Cardiology Physician nationwide →
The 8 advanced heart failure and transplant cardiology physician records with the nearest ZIP codes
- Robert Berkowitz, MDHackensack, NJ 076011437217973
- Raul Flores, MDHackensack, NJ 076011376938589
- Bernard Kim, MDHackensack, NJ 076011518166420
- Elliot Levine, MDHackensack, NJ 076011104141415
- Kumar Satya, MBBS, MRCPHackensack, NJ 076011710163357
- David Silber, DOHackensack, NJ 076011760748537
- Saurabh Kapoor, MDEnglewood, NJ 076311235376864
- Saad Ahmad, M.D.Morristown, NJ 079601811150816
Common questions
What is Kanika Pravin Mody, M.D.'s NPI number?
Kanika Pravin Mody, M.D.'s National Provider Identifier (NPI) is 1891941449, issued on Aug 14, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Kanika Pravin Mody, M.D. located?
The NPPES record lists a practice address at 20 Prospect Ave Ste 200, Hackensack, NJ, 07601. Phone: (551) 996-4849. Providers update this record themselves, so call before visiting.
How can I verify Kanika Pravin Mody, M.D.'s license?
NPPES lists New Jersey license number 25MA09537200, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kanika Pravin Mody, M.D. prescribe under Medicare Part D?
In 2024, Kanika Pravin Mody, M.D. had 2,311 Medicare Part D claims for 227 beneficiaries; the average among advanced heart failure and transplant cardiology physician prescribers was 1,965. Part D covers Medicare prescriptions only.
What is Kanika Pravin Mody, M.D.'s MIPS final score?
The 2023 MIPS final score is 75.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.