Dr. Sheila Jane Modi, MD

  • Dallas, TX
  • Internist
NPI1528283553PAC ID1951595156
Medicare services, 2024
442
Medicare patients, 2024
204
Part D claims, 2024
3,729
Hospital affiliations
3
Industry payments
$1,694
Practice address
5939 Harry Hines Blve, Dallas, TX 75235
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve)

Acute Care Hospital outpatient department · Dallas, Texas

See all 6 affiliations

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Dr. Sheila Jane Modi is an internist in Dallas, Texas

Dr. Modi practices at UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve) in Dallas, Texas.

Dr. Modi's NPI, 1528283553, was assigned on April 16, 2007. Dr. Modi graduated from UTMB Health in 2007. Dr. Modi's Florida license number on file is ME119795.

NPI and contact details
Medicare PAC ID
1951595156
NPI enumeration date
April 16, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sheila Jane Modi practices at UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve) in Dallas, Texas

Dr. Modi's primary practice is UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve), at 5939 Harry Hines Blve, Dallas, TX 75235.

  • UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve)
    5939 Harry Hines Blve, Dallas, TX 75235

Source: Dmand AI Affiliation Data

Dr. Sheila Jane Modi is affiliated with 5 sites of care and 1 medical group

Dr. Modi's primary practice is UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve) in Dallas, Texas. Dr. Modi is also affiliated with William P. Clements Jr. University Hospital. The medical group on file is University of Texas Southwestern Medical Center. Dmand AI also links Dr. Modi to 2 more hospitals and 1 group practice or clinic, each named with a free account. Dr. Modi's employer is on file too: a hospital.

See all 6 affiliations for Dr. Modi

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Sheila Jane Modi's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Modi practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve)Available with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sheila Jane Modi is one of 8,437 internists in Texas

Internal medicine is Dr. Modi's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Modi is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Modi's licenses on file in 3 states: Florida, Texas and New Mexico.

Specialties and state licenses

  • Internal medicine, FloridaPrimaryLicense ME119795 · 2014 to 2024 · taxonomy 207R00000X
  • Texas license2021 to 2026
  • New Mexico licenseLicense MD2010-0244 · 2007 to 2015

Clinical focus

Dmand AI lists acute gastroduodenitis, alcohol use disorders, aneurysm, asthma, atrial fibrillation and flutter, bronchitis, chronic anemia and chronic diabetes among the conditions Dr. Modi treats.

Internists near Dr. Modi

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sheila Jane Modi billed Medicare for 442 services in 2024

CMS data shows 442 Medicare services from Dr. Modi across 9 procedure codes in 2024, for 204 Medicare patients. Medicare paid $47,021 for them. Every service was in an office.

Medicare services, 2024442
Medicare patients204
Paid by Medicare$47,021
Procedure codes9

Dr. Modi's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2052024: 24620%
Other services
2023: 692024: 146112%
Tests and treatments
2023: 222024: 50127%

Dr. Modi compared with the Texas median for internists, 2024

  • Dr. Modi
  • Texas median
Medicare services
442vs 53918% below
Medicare patients
204vs 1907% above
Part D claims
3,067vs 28910.6 times

Medians across 7,794 internists in Texas with Dmand AI profiles that report each measure.

Dr. Modi's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Modi

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Sheila Jane Modi treated 204 Medicare patients in 2024, average age 74

CMS counts 204 Medicare patients who saw Dr. Modi in 2024. The largest group is 65 to 74, with 91 patients. 75% of them have high cholesterol, and 70% have high blood pressure. 8% are also on Medicaid. Their average risk score is 1.36, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Modi's median patient age at 67, with 62% women.

Medicare patients, 2024204
Average age74
Average risk score1.36
Also on Medicaid8%

Dr. Modi's Medicare patients by age, 2024

Dr. Modi's Medicare patients by sex, 2024

  • Women12260%
  • Men8240%

Chronic conditions among Dr. Modi's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure70%
  3. Arthritis56%
  4. Osteoporosis29%
  5. Ischemic heart disease27%
  6. Cancer25%
  7. Diabetes25%
  8. Anxiety24%

Share of Medicare patients with each condition. A patient can have several.

Dr. Modi's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women62%
  • Men37%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sheila Jane Modi wrote 3,729 Medicare Part D claims in 2024

In 2024, Dr. Modi wrote 3,729 Medicare Part D claims for 464 patients. 87% of them were for generic drugs. CMS names the drug for 3,067 of them, across 74 drugs with 11 or more claims each, at $238,035 in total drug cost. In 2023, CMS named 999 claims across 37 drugs.

Part D claims, 20243,729
Drugs named by CMS74
Total drug cost$238,035
Part D patients464

Dr. Modi's Part D claims by kind of drug, 2024

  • Generic3,255 claims87%
  • Brand-name462 claims12%
  • Other12 claims0%

Dr. Modi's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Modi's Part D claims, 2024

  • Opioids2%89 of 3,729 claims
  • Antibiotics1%43 of 3,729 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 9992024: 3,067207%

Drugs named by CMS: 74 in 2024, 37 in 2023.

See all prescribing by Dr. Modi

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Sheila Jane Modi offers telehealth to Medicare patients

Dr. Modi accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Modi as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Sheila Jane Modi received $1,694 in industry payments from 2016 to 2024

CMS Open Payments shows 108 general payments to Dr. Modi from 18 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $424.

General payments to Dr. Modi by program year, 2016 to 2024

General payments to Dr. Modi by kind, 2016 to 2024

$1.7Kin total
  • Food and beverage$1,687100%
  • Education$70%

Companies that paid Dr. Modi the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Modi

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Sheila Jane Modi graduated from UTMB Health

Dr. Modi graduated from UTMB Health in 2007. Dr. Modi is a member of AOA, ACP and Physicians for Social Responsibility.

  1. Medical schoolUTMB Health
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Sheila Jane Modi accepts plans from 19 insurance carriers

Dr. Modi is in network with 19 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Cigna
  • HCSC
  • Alliant Health Plans
  • Blue Cross Blue Shield of Massachusetts
  • Elevance
  • +11 more carriersWith a free account

Plan types Dr. Modi accepts, by number of carriers

  1. PPO13
  2. HMO10
  3. Medicare8
  4. POS4
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. Sheila Jane Modi's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sheila Jane Modi

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sheila Jane Modi's NPI number?

Dr. Sheila Jane Modi's NPI number is 1528283553. It was assigned on April 16, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Sheila Jane Modi?

Dr. Sheila Jane Modi is an internist in Dallas, Texas. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Sheila Jane Modi practice?

Dr. Modi practices at 5939 Harry Hines Blve, Dallas, TX 75235. Dr. Modi's primary practice is UT of Texas Southwestern University Hospital - William P. Clements Jr. - HOPD (5939 Harry Hines Blve) in Dallas, Texas. Dmand AI also links Dr. Modi to 2 hospitals and 1 group practice or clinic.

What is Dr. Sheila Jane Modi's medical license number?

Dr. Modi's Florida license number on file is ME119795, one of the licenses on file in 3 states.

Which states has Dr. Sheila Jane Modi been licensed in?

Dmand AI has state licenses on file for Dr. Modi in Florida (2014 to 2024), Texas (2021 to 2026) and New Mexico (2007 to 2015).

Which hospitals is Dr. Sheila Jane Modi affiliated with?

Dr. Modi is affiliated with William P. Clements Jr. University Hospital. Dmand AI links Dr. Modi to 2 more hospitals.

What medical group is Dr. Sheila Jane Modi part of?

Dr. Modi is linked to University of Texas Southwestern Medical Center.

Does Dr. Sheila Jane Modi accept Medicare?

Yes. CMS data shows Dr. Modi billed Medicare for 442 services in 2024, and Dr. Modi accepts Medicare assignment.

Does Dr. Sheila Jane Modi offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Modi as offering telehealth services.

How many Medicare patients does Dr. Sheila Jane Modi see?

CMS counts 204 Medicare patients who saw Dr. Modi in 2024, with an average age of 74.

Show 7 more questionsShow fewer questions

Is Dr. Sheila Jane Modi board certified?

Yes. Dr. Modi is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Sheila Jane Modi bill to Medicare?

In 2024, Dr. Modi's most billed Medicare services were office visit, established patient (99214), medicare service (G0439) and office visit, established patient (99215).

Where did Dr. Sheila Jane Modi go to medical school?

Dr. Modi graduated from UTMB Health in 2007.

What drugs does Dr. Sheila Jane Modi prescribe most?

In 2024 Medicare Part D data, Dr. Modi's most prescribed drugs by claims were Atorvastatin Calcium, Amlodipine Besylate and Losartan Potassium.

Has Dr. Sheila Jane Modi received payments from drug or device companies?

CMS Open Payments shows $1,694 in general payments to Dr. Modi from 18 companies from 2016 to 2024. The largest total came from Janssen Pharmaceuticals, Inc.

How long has Dr. Sheila Jane Modi been practicing?

Dr. Modi graduated from medical school in 2007, 19 years ago.

What insurance does Dr. Sheila Jane Modi accept?

Dr. Modi is in network with 19 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.

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