Mitul B. Modi, MD
NPI 1649794876ActiveIndividual· Dermatology· Maywood, IL
Dermatology (MD) with Rush University Medical Group, practicing in Maywood, Illinois. Medicare paid $77,538 for services to 957 patients in 2024. Leica Microsystems Inc. reported $46.90 in payments in 2024, mostly food and beverage. Lists Copley Memorial Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1649794876 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 31, 2017 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 036164764 | IL |
| Pathology, Dermatopathology | 207ZD0900X | 125079219 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Pathology (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 957 |
|---|---|
| Services billed | 3,036 across 40 procedure codes |
| Paid by Medicare | $77,538 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Pathology |
| Secondary specialties | Dermatology |
Medical group
- Rush University Medical GroupChicago, IL · 1,551 clinicians
Hospital affiliations
- Copley Memorial HospitalAurora, IL
- Rush Oak Park HospitalOak Park, IL
- Rush University Medical CenterChicago, IL
Industry payments (Open Payments)
- 2024$46.90 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Leica Microsystems Inc. | $46.90 | 1 |
What the 2024 payments were for
- Food and Beverage$46.90 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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