Ronak S. Modi, M.D.
Gastroenterology Physician · Fountain Hill, PA
Ronak S. Modi, M.D. is a gastroenterology physician with a practice address in Fountain Hill, Pennsylvania, and NPI 1417283219, issued on Oct 29, 2009. Check the license (Pennsylvania MD454591, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Ronak S. Modi
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- MD454591 PA
Self-reported in NPPES; status is on the state search - Practice location
- 701 Ostrum St, Fountain Hill, PA 18015
- Phone
- (484) 526-6545
- Enumerated
- Oct 29, 2009
- Record last updated
- Nov 17, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (484) 526-6546
- Medicaid ID
- 103016310 PA
- Medicare enrollment
- Enrolled (PECOS I20150605000364); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 1,049 in Pennsylvania → Look up another NPI →
Also registered at 701 Ostrum St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ronak S. Modi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD454591Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
13% fewer Medicare Part D claims than the average gastroenterology physician in 2024
709 Medicare Part D claims for 181 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims.
Most prescribed
- Linzess169 claims
- Omeprazole150 claims
- Pantoprazole Sodium86 claims
- Famotidine71 claims
- Metoclopramide Hcl13 claims
- Lactulose12 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 MIPS final score for 2023 (Medicare payment program): 95.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $220.92
2 payments; by number, the most common kind was food and beverage; the largest payer was Phathom Pharmaceuticals, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 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
- St Lukes Physician Group IncFountain Hill, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ronak S. Modi among 1,049 gastroenterology physician records in Pennsylvania
Ronak S. Modi, M.D. is one of 1,049 gastroenterology physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 66% of them.
- NPI issued2009 · 66% of these records are older, 30% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2009 · median 2003 among the 769 with a school on file
- Record last updated2016 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
15 gastroenterology physician records list a practice address in Fountain Hill
They are 15 of the 333 NPPES records with a practice address in Fountain Hill, and 1,049 gastroenterology physician records in Pennsylvania.
All 1,049 in Pennsylvania → Every provider in Fountain Hill → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- James Boylan, MDBethlehem, PA 180151538159546
- Kimberly Chaput, D.O.Fountain Hill, PA 180151255537882
- Edward Chen, M.D.Bethlehem, PA 180151679675938
- Berhanu Geme, M.D.Fountain Hill, PA 180151376781492
- Christopher Hibbard, D.O.Fountain Hill, PA 180151427379700
- Sarina Kapoor, M.D.Fountain Hill, PA 180151861788531
- Sinan Kutty, M.D.Fountain Hill, PA 180151194940601
- Zheng Lin, M.D.Fountain Hill, PA 180151588947469
Common questions
What is Ronak S. Modi, M.D.'s NPI number?
Ronak S. Modi, M.D.'s National Provider Identifier (NPI) is 1417283219, issued on Oct 29, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Ronak S. Modi, M.D. located?
The NPPES record lists a practice address at 701 Ostrum St, Fountain Hill, PA, 18015. Phone: (484) 526-6545. Providers update this record themselves, so call before visiting.
How can I verify Ronak S. Modi, M.D.'s license?
NPPES lists Pennsylvania license number MD454591, 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 Ronak S. Modi, M.D. prescribe under Medicare Part D?
In 2024, Ronak S. Modi, M.D. had 709 Medicare Part D claims for 181 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Ronak S. Modi, M.D.'s MIPS final score?
The 2023 MIPS final score is 95.6 of 100. 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.