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

Mrinalini Modak, MD

Individual provider Pulmonary Disease Physician · NPI 1790148633

Mrinalini Modak, MD is a Pulmonary Disease in Oklahoma City, Oklahoma. Qualified in 2016, 10 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Connecticut, Illinois and Oklahoma.

Years since qualifying
10
Licensed in
CT, IL, OK
In the registry since
2016
Specialties on file
3
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

800 Stanton L Young Blvd # 8425
Oklahoma City, OK 73104-5018
Phone: (405) 271-6173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5 Perryridge Rd, Greenwich, CT 06830-4608 — (203) 863-3911
  • 5 Perryridge Rd, Greenwich, CT 06830-4608 — (203) 863-3911
  • 20 York Street, Cb-2041, New Haven, CT 06510 — (203) 688-4748
  • 676 N Saint Clair St Ste 14-044, Chicago, IL 60611-2927 — (312) 695-5753

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 38134 (OK)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 036171041 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 62568 (CT)

Record details

NPI number1790148633
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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