Prachi Mahendra Modi, M.D.
Emergency Medicine Physician · East Norriton, PA
Prachi Mahendra Modi, M.D. is an emergency medicine physician with a practice address in East Norriton, Pennsylvania, and NPI 1053583849, issued on Apr 1, 2008. Check the license (Pennsylvania MD443559, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Prachi Mahendra Modi
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- MD443559 PA
Self-reported in NPPES; status is on the state search - Practice location
- 559 W Germantown Pike, East Norriton, PA 19403
- Phone
- (484) 622-0611
- Enumerated
- Apr 1, 2008
- Record last updated
- Oct 23, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20230314002414); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Stony Brook, School Of Medicine, 2005
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 3,911 in Pennsylvania → Look up another NPI →
Also registered at 559 W Germantown Pike
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Aisha Akhtar, MDInfectious Disease Physician1861020430
- Zakariya Alamleh, DOStudent in an Organized Health Care Education/Training Program1578494092
- Karen Angell, MDPediatrics Physician1033181763
- Katherine Arnao, PA-CPhysician Assistant1619520194
- Seung Kook Baek, MDInternal Medicine Physician1568147007
Verify Prachi Mahendra Modi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD443559Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
71% fewer Medicare Part D claims than the average emergency medicine physician in 2024
65 Medicare Part D claims for 51 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.
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.
Bills Medicare through one group practice
- New York UniversityNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prachi Mahendra Modi among 3,911 emergency medicine physician records in Pennsylvania
Prachi Mahendra Modi, M.D. is one of 3,911 emergency medicine physician records with a practice address in Pennsylvania. 82% 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 38% of them.
- NPI issued2008 · 38% of these records are older, 57% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2005 · median 2013 among the 2,231 with a school on file
- Record last updated2013 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Emergency Medicine Physician providers in Pennsylvania
There are 3,911 emergency medicine physician records in Pennsylvania.
All 3,911 in Pennsylvania → Every provider in East Norriton → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Anil Mahajan, M.D.Norristown, PA 194031245226604
- Michela Mickler, M.D.East Norriton, PA 194031346620556
- Mark Bezzek, M.D.Norristown, PA 194011902862949
- Brian DuffellEast Norriton, PA 194011629426978
- Robert Fine, MDEast Norriton, PA 194011033153184
- Randy Grinspan, DONorristown, PA 194011780778589
- Arthur Hayes, M.D.Norristown, PA 194011568426716
- James McHugh, MDNorristown, PA 194011437195112
Common questions
What is Prachi Mahendra Modi, M.D.'s NPI number?
Prachi Mahendra Modi, M.D.'s National Provider Identifier (NPI) is 1053583849, issued on Apr 1, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Prachi Mahendra Modi, M.D. located?
The NPPES record lists a practice address at 559 W Germantown Pike, East Norriton, PA, 19403. Phone: (484) 622-0611. Providers update this record themselves, so call before visiting.
How can I verify Prachi Mahendra Modi, M.D.'s license?
NPPES lists Pennsylvania license number MD443559, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prachi Mahendra Modi, M.D. prescribe under Medicare Part D?
In 2024, Prachi Mahendra Modi, M.D. had 65 Medicare Part D claims for 51 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
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.