Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fagunkumar Modi, MD

Individual provider Pulmonary Disease Physician · NPI 1619117421

Dr. Fagunkumar Modi, MD is an Internal Medicine in Crystal River, Florida. Qualified in 2003, 23 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1550 N Shockley Loop
Crystal River, FL 34429-7816
Phone: (352) 795-1999
Fax: (352) 795-2269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence ME120896 (FL)

Record details

NPI number1619117421
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2009
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address1550 N Shockley Loop, Crystal River, FL 34429-7816

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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