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

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1528174943

Mamatha Modem, MD is an Internal Medicine in Dallas, Texas. Qualified in 2000, 26 years ago. Practices with Dallas County Hospital District, a 598-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 N Westmoreland Rd
Dallas, TX 75211-1656
Phone: (214) 266-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence P1902 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence P1902 (TX)

Record details

NPI number1528174943
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Dallas County Hospital District — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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