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

Modnath Sangroula

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952900250

Modnath Sangroula is a Family Practice in Decatur, Indiana. Qualified in 2015, 11 years ago. Practices with Adams County Memorial Hospital, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

955 High St Ste 1
Decatur, IN 46733-2361
Phone: (260) 724-8551
Fax: (260) 728-3858
Show map & directions

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

Additional practice locations (1)

  • 4864 Jackson St, Monroe, LA 71202-6400 — (318) 330-7600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01089130A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952900250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2020
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address955 High St Ste 1, Decatur, IN 46733-2361

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Adams County Memorial Hospital — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Decatur