Ankur Modi, M.D.
NPI 1639466634ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· New Providence, NJ
Internal Medicine, Endocrinology, Diabetes & Metabolism (M.D.) with Summit Medical Group PA, practicing in New Providence, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $1,901,895 for 4,430 claims, against $378,988 paid for services in 2024. Lists Morristown Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1639466634 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 29, 2011 |
| Last updated in NPPES | Nov 6, 2020 |
| Certified by provider | Nov 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | 25MA10857200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Endocrinology (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,152 |
|---|---|
| Services billed | 15,578 across 65 procedure codes |
| Paid by Medicare | $378,988 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,430 · 10,682 30-day fills |
|---|---|
| Patients | 636 |
| Total drug cost | $1,901,895 |
| Generic share | 51% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Endocrinology |
| Telehealth | Offers telehealth |
Medical group
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
Hospital affiliations
- Morristown Medical CenterMorristown, NJ
- Overlook Medical CenterSummit, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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