NPPES file of Aug 9, 2026

Sujal Hemant Modi, MD

Cardiovascular Disease Physician · Indianapolis, IN

Sujal Hemant Modi, MD is a cardiovascular disease physician with a practice address in Indianapolis, Indiana, and NPI 1184068561, issued on Apr 29, 2013. Check the license (Indiana 01090483A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1184068561
Name
Sujal Hemant Modi
Credential
MD
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License numbers
01090483A IN
MD467708 PA
Self-reported in NPPES; status is on the state search
Practice location
720 Eskenazi Ave, Indianapolis, IN 46202
Phone
(317) 880-7666
Enumerated
Apr 29, 2013
Record last updated
Mar 14, 2025
Fax
(317) 880-0448
Medicaid ID
300081931 IN
Medicare enrollment
Enrolled (PECOS I20230912001636); accepts Medicare assignment
Medical or professional school
West Virginia University School Of Medicine, 2009
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 720 Eskenazi Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sergiu Abramovici, MDNeurology Physician1982015186
  2. Jennifer Adams, MSN, RN, ACNP-BCAcute Care Nurse Practitioner1750688206
  3. William Adamy, DOEmergency Medicine Physician1356741250
  4. Jayme Ahmed, M.D.Psychiatry Physician1043659436
  5. Busayo Akintayo, NPNurse Practitioner1215704408
  6. Shelby Albertson, PHARMDAmbulatory Care Pharmacist1952987943

Verify Sujal Hemant Modi in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Licensing Board of Indiana
    Search for license 01090483A
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Indiana license search

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63% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024

1,127 Medicare Part D claims for 121 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.

  1. Sujal Modi1,127
  2. Specialty average3,078

Most prescribed

  1. Mycophenolate Mofetil82 claims
  2. Spironolactone52 claims
  3. Tacrolimus51 claims
  4. Atorvastatin Calcium50 claims
  5. Sirolimus46 claims
  6. Rosuvastatin Calcium35 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): 97.6 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.

  1. Qualityout of 100 · 30% of the final score86.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,296.09

16 payments; by number, the most common kind was food and beverage; the largest payer was Abiomed. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sujal Modi$1,296.09
  2. Specialty average$3,819.56

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Indiana University Health IncIndianapolis, IN
  2. IU Health Medical Group LLCIndianapolis, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sujal Hemant Modi among 451 cardiovascular disease physician records in Indiana

Sujal Hemant Modi, MD is one of 451 cardiovascular disease physician records with a practice address in Indiana. 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 2013, is newer than 85% of them.

  • NPI issued2013 · 85% of these records are older, 13% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2009 · median 1996 among the 335 with a school on file
  • Record last updated2025 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Indiana

There are 451 cardiovascular disease physician records in Indiana.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Akindolapo Akinwande, M.D.Indianapolis, IN 462021891766309
  2. Deepak Bhakta, MDIndianapolis, IN 462021326002296
  3. Mithilesh Das, MDIndianapolis, IN 462021568426443
  4. Harvey Feigenbaum, M.D.Indianapolis, IN 462021083678965
  5. William Gill, M.D.Indianapolis, IN 462021598720120
  6. John Miller, MDIndianapolis, IN 462021467417022
  7. Jacqueline O'Donnell, M.D.Indianapolis, IN 462021225093826
  8. Prakash Pande, M.D.Indianapolis, IN 462021255395182

Common questions

What is Sujal Hemant Modi, MD's NPI number?

Sujal Hemant Modi, MD's National Provider Identifier (NPI) is 1184068561, issued on Apr 29, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Sujal Hemant Modi, MD located?

The NPPES record lists a practice address at 720 Eskenazi Ave, Indianapolis, IN, 46202. Phone: (317) 880-7666. Providers update this record themselves, so call before visiting.

How can I verify Sujal Hemant Modi, MD's license?

NPPES lists Indiana license number 01090483A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sujal Hemant Modi, MD prescribe under Medicare Part D?

In 2024, Sujal Hemant Modi, MD had 1,127 Medicare Part D claims for 121 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Sujal Hemant Modi, MD's MIPS final score?

The 2023 MIPS final score is 97.6 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.