2026 NPPES data Allergy & Immunology (Internal Medicine) Physician NPI 1609371855
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SUNJAY MODI

Allergy & Immunology (Internal Medicine) Physician in ROYAL OAK, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
383
Medicare Part D claims · 131 beneficiaries · Allergy & Immunology (Internal Medicine) Physician avg: 798
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.92/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$2.1K
103 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SUNJAY MODI is a Allergy & Immunology (Internal Medicine) Physician ([object Object]) practicing in ROYAL OAK, Michigan with a Medicare Part D prescribing footprint of 383 claims across 131 beneficiaries — 37% brand-name prescribing . Their CMS MIPS Final Score of 88.92/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.1K across 103 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SUNJAY MODI reported a CMS MIPS final score of 88.92 out of 100, above the 83.1 national average, and filed 383 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SUNJAY MODI practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SUNJAY MODI at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/29/2018

NPI 1609371855

Primary specialty

Allergy & Immunology (Internal Medicine) Physician

Niche

520 US NPIs in this specialty

Medicare Part D claims

383 52% vs specialty avg

2023 prescription claims

Specialty avg: 798

MIPS final score

88.92/100 5.820000000000007% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Allergy & Immunology (Internal Medicine) Physician compares to other specialties among Michigan providers

Michigan providers

Allergy & Immunology (Internal Medicine) Physician share within Michigan

1. Allergy & Immunology (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Allergy & Immunology (Internal Medicine) Physician share within Michigan

Medicare quality performance — MIPS

SUNJAY MODI's 2023 MIPS final score plotted against the Allergy & Immunology (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
88.92/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Allergy & Immunology (Internal Medicine) Physician) — 88.92/100 vs national avg 83.1

0%100%National avg83%88.9%
MIPS final score (Allergy & Immunology (Internal Medicine) Physician) — 88.92/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SUNJAY MODI is a Allergy & Immunology (Internal Medicine) Physician provider practicing in ROYAL OAK, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1609371855. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SUNJAY MODI appears in the CMS NPPES registry as a Allergy & Immunology (Internal Medicine) Physician provider at 3600 W 13 MILE RD, ROYAL OAK, MI, 48073, with a listed phone of (248) 549-0777. NPI 1609371855 was issued on 03/29/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MODI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 383 prescription claims written by this provider, covering 131 Medicare beneficiaries and totaling roughly $129K in drug spend, split 37% brand-name and 63% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.92/100 for the 2023 performance year (Quality 100, Cost 53.6066), compared with the national average of 83.1.

Allergy & Immunology (Internal Medicine) Physician is a narrow specialty nationwide, with 520 enrolled providers across 48 states and an average of 798 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3600 W 13 MILE RD
ROYAL OAK, MI 48073

Provider Details

NPI 1609371855
Specialty Allergy & Immunology (Internal Medicine) Physician
Gender Male
NPI Issued 03/29/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.92
Final Score
Avg: 83.1
100
Quality
53.6066
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SUNJAY MODI bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ALLERGY AND ASTHMA ASSOCIATES OF MI PC
ROYAL OAK, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SUNJAY MODI. Source: openpaymentsdata.cms.gov.

Total received

$2.1K

Largest payer

GlaxoSmithKline, LLC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to SUNJAY MODI. To verify SUNJAY MODI's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SUNJAY MODI — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 383 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

383
Total Claims
$129K
Total Drug Cost
131
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
493
Total Day Supply
13,287
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$113K
Generic Drug Cost
$17K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.35
Gender Split
76% female / 24% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Azelastine Hcl
45
Albuterol Sulfate Hfa
Albuterol Sulfate
34
Montelukast Sodium
32
Fluticasone Propionate
30
Symbicort
Budesonide/Formoterol Fumarate
27
Famotidine
25
Prednisone
25
Breo Ellipta
Fluticasone/Vilanterol
24
Epinephrine
20
Ipratropium Bromide
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Allergy & Immunology (Internal Medicine) Physician Overview

How SUNJAY MODI fits within the Allergy & Immunology (Internal Medicine) Physician landscape nationally.

520
Allergy & Immunology (Internal Medicine) Physician Providers in US
48
States with Allergy & Immunology (Internal Medicine) Physician
798
Avg Claims per Provider

SUNJAY MODI's 383 claims are below the specialty average of 798.

Nearby Allergy & Immunology (Internal Medicine) Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as MODI.

Compare Allergy & Immunology (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUNJAY MODI's specialty?
SUNJAY MODI specializes in Allergy & Immunology (Internal Medicine) Physician and practices in ROYAL OAK, Michigan.
How much does SUNJAY MODI prescribe under Medicare Part D?
In 2023, SUNJAY MODI wrote 383 Medicare Part D claims totaling $129K in drug costs for 131 beneficiaries.
What is SUNJAY MODI's Medicare quality score?
SUNJAY MODI has a CMS MIPS Final Score of 88.92/100 (Quality: 100, Cost: 53.6066). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUNJAY MODI located?
SUNJAY MODI is located at 3600 W 13 MILE RD, ROYAL OAK, MI, 48073. Phone: (248) 549-0777.
What is SUNJAY MODI's NPI number?
SUNJAY MODI's National Provider Identifier (NPI) is 1609371855, issued on 03/29/2018.
Does SUNJAY MODI prescribe more brand-name or generic drugs?
SUNJAY MODI's prescribing is 37% brand-name and 63% generic drugs by claim count, with $113K in brand drug costs.
How many Allergy & Immunology (Internal Medicine) Physician providers are there in the US?
There are 520 Allergy & Immunology (Internal Medicine) Physician providers across 48 states in the US. The average Allergy & Immunology (Internal Medicine) Physician provider writes 798 Medicare Part D claims per year.
What drugs does SUNJAY MODI prescribe most often?
Based on 2023 Medicare Part D data, SUNJAY MODI's most frequently prescribed drugs include Azelastine Hcl, Albuterol Sulfate Hfa, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUNJAY MODI accept Medicare?
SUNJAY MODI appears in CMS Medicare data with 383 Part D claims and 131 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUNJAY MODI's credentials?
SUNJAY MODI's NPI is 1609371855. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology