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

Raheel Mody

Individual provider Family Medicine Physician · NPI 1447644745

Raheel Mody is a Family Practice in West Bend, Wisconsin. Qualified in 2015, 11 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
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Practice location Address checks out

205 Valley Ave
West Bend, WI 53095
Phone: (262) 338-1123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 W Kinnickinnic River Pkwy Ste 250, Milwaukee, WI 53215-3678 — (414) 649-3361

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 66960 (WI)

Record details

NPI number1447644745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2015
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

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 Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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