Rajiv Modak, MD - Medicare Pediatric Medicine in Tucson, AZ

Rajiv Modak, MD is a medicare enrolled "Pediatrics" physician in Tucson, Arizona. He went to Rutgers New Jersey Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice El Rio Santa Cruz Neighborhood Health Center, Inc and his current practice location is 1500 W Commerce Ct, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 670-3909.

Rajiv Modak is licensed to practice in Arizona (license number 28426) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124002324.

Contact Information

Rajiv Modak, MD
1500 W Commerce Ct,
Tucson, AZ 85746-6015
(520) 670-3909
(520) 806-2625

Map and Direction




Physician's Profile

Full NameRajiv Modak
GenderMale
SpecialityPediatric Medicine
Experience27 Years
Location1500 W Commerce Ct, Tucson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rajiv Modak attended and graduated from Rutgers New Jersey Medical School in 1997
  NPI Data:
  • NPI Number: 1124002324
  • Provider Enumeration Date: 12/01/2005
  • Last Update Date: 10/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5092093740
  • Enrollment ID: I20161031001817

Medical Identifiers

Medical identifiers for Rajiv Modak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124002324NPI-NPPES
527690MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 28426 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
El Rio Santa Cruz Neighborhood Health Center, Inc6305739244237

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rajiv Modak allows following entities to bill medicare on his behalf.
Entity NameEl Rio Santa Cruz Neighborhood Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487602736
PECOS PAC ID: 6305739244
Enrollment ID: O20040205000098

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rajiv Modak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rajiv Modak, MD
1500 W Commerce Ct, Bldg 1,
Tucson, AZ 85746-6031

Ph: (520) 792-9890
Rajiv Modak, MD
1500 W Commerce Ct,
Tucson, AZ 85746-6015

Ph: (520) 670-3909

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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