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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mitul B. Modi, MD

Dermatology Physician in Maywood, IL · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649794876

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Registry record

Entity type Individual (Type 1)
Name Mitul B. Modi
Credential MD
Sex Male
Practice address Maywood, IL, 60153
Phone (248) 839-7383
Enumeration date Jul 31, 2017
Last updated in NPPES Jan 16, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207ZD0900X Dermatopathology (Pathology) Physician Allopathic & Osteopathic Physicians · License 125079219 (IL) Secondary
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 036164764 (IL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mitul Modi?
The National Provider Identifier (NPI) for Mitul Modi is 1649794876, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mitul Modi practice?
The practice location on file with NPPES is in Maywood, IL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-16.