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

Mayank R Modi, MD

Individual provider Cardiovascular Disease Physician · NPI 1790775153

Mayank R Modi, MD is a Cardiovascular Disease (Cardiology) in Wyomissing, Pennsylvania. Qualified in 1988, 38 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
38
Licensed in
PA
In the registry since
2005
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

2605 Keiser Blvd
Wyomissing, PA 19610
Phone: (610) 685-8500
Fax: (610) 378-5131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD059078L (PA)

Record details

NPI number1790775153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESJuly 8, 2007
Mailing address2605 Keiser Blvd, Wyomissing, PA 19610

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY, CRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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