Dr. Simple S. Modi, MD
- Medicare services, 2024
- 859
- Medicare patients, 2024
- 311
- Part D claims, 2024
- 1,912
- Publications
- 1
- Hospital affiliations
- 4
- Practice address
- 4001 Coliseum Dr, Hampton, VA 23666
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Sngh Rheumatology - Hampton - 801 0254 - HOPD
Acute Care Hospital outpatient department · Hampton, Virginia
Find Dr. Modi's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Simple S. Modi is a rheumatologist in Hampton, Virginia
Dr. Modi practices at Sngh Rheumatology - Hampton - 801 0254 - HOPD in Hampton, Virginia.
Dr. Modi's NPI, 1487182812, was assigned on May 30, 2017. Dr. Modi holds Virginia license 0101276540.
- NPI
- 1487182812NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7719358274
- NPI enumeration date
- May 30, 2017
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 37
- Medical school graduation
- 2015
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Simple S. Modi practices at Sngh Rheumatology - Hampton - 801 0254 - HOPD in Hampton, Virginia
Dr. Modi's primary practice is Sngh Rheumatology - Hampton - 801 0254 - HOPD, at 4001 Coliseum Dr, Hampton, VA 23666.
- Sngh Rheumatology - Hampton - 801 0254 - HOPD4001 Coliseum Dr, Hampton, VA 23666
Source: Dmand AI Affiliation Data
Dr. Simple S. Modi is affiliated with 6 sites of care and 1 medical group
Dr. Modi's primary practice is Sngh Rheumatology - Hampton - 801 0254 - HOPD in Hampton, Virginia. Dr. Modi is also affiliated with Sentara CarePlex Hospital. The medical group on file is Sentara Medical Group. Dmand AI also links Dr. Modi to 3 more hospitals and 1 group practice or clinic, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Simple S. Modi's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Modi practices, 6 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Sngh Rheumatology - Hampton - 801 0254 - HOPD | Available with a free account |
| +5 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Simple S. Modi is one of 160 rheumatologists in Virginia
Rheumatology is Dr. Modi's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dmand AI has Dr. Modi's licenses on file in 2 states: Virginia and Pennsylvania.
Specialties and state licenses
- Rheumatology, VirginiaPrimary
- Student in an organized health care education/training program, Pennsylvania
Rheumatologists near Dr. Modi
Counts of rheumatologists 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. Simple S. Modi billed Medicare for 859 services in 2024
CMS data shows 859 Medicare services from Dr. Modi across 7 procedure codes in 2024, for 311 Medicare patients. Medicare paid $51,182 for them. Every service was in an office.
Dr. Modi's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5042024: 58616%
- Other services
- 2023: 02024: 248
- Surgery
- 2023: 202024: 2525%
Dr. Modi compared with the Virginia median for rheumatologists, 2024
- Dr. Modi
- Virginia median
- Medicare services
- 859vs 99914% below
- Medicare patients
- 311vs 304Close to median
- Part D claims
- 1,793vs 97085% above
Medians across 159 rheumatologists in Virginia 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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Modi and other rheumatologists in Virginia.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Simple S. Modi treated 311 Medicare patients in 2024, average age 72
CMS counts 311 Medicare patients who saw Dr. Modi in 2024. The largest group is 65 to 74, with 135 patients. 75% of them have arthritis, and 75% have high blood pressure. 8% are also on Medicaid. Their average risk score is 1.39, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Modi's median patient age at 60, with 77% women.
Dr. Modi's Medicare patients by age, 2024
Dr. Modi's Medicare patients by sex, 2024
- Women23174%
- Men8026%
Chronic conditions among Dr. Modi's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Osteoporosis37%
- Diabetes33%
- Anxiety25%
- Mood disorders25%
- Chronic kidney disease24%
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 60
Patient panel by sex, all payers
- Women77%
- Men22%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Simple S. Modi wrote 1,912 Medicare Part D claims in 2024
In 2024, Dr. Modi wrote 1,912 Medicare Part D claims for 310 patients. 84% of them were for generic drugs. CMS names the drug for 1,793 of them, across 33 drugs with 11 or more claims each, at $1,770,342 in total drug cost. In 2023, CMS named 1,402 claims across 27 drugs.
Dr. Modi's Part D claims by kind of drug, 2024
- Generic1,604 claims84%
- Brand-name308 claims16%
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%36 of 1,912 claims
- Antibiotics1%12 of 1,912 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: 1,4022024: 1,79328%
Drugs named by CMS: 33 in 2024, 27 in 2023.
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. Simple S. 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. Simple S. Modi has 1 publication on record
Dmand AI links 1 paper to Dr. Modi in 2017. Dr. Modi's most frequent co-author is Sony M. Issac, MD.
Dr. Modi's most frequent co-authors
Recent publications by Dr. Modi
See who Dr. Modi researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Modi works with, so you can find a warm path to the right rheumatologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Simple S. Modi received $258 in industry payments from 2018 to 2022
CMS Open Payments shows 4 general payments to Dr. Modi from 2 drug and device companies from 2018 to 2022. Food and beverage make up the largest share, 100% of the total. GlaxoSmithKline, LLC. paid the most, $133.
General payments to Dr. Modi by program year, 2018 to 2022
Companies that paid Dr. Modi the most, 2018 to 2022
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Simple S. Modi's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Simple S. 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. Simple S. Modi's NPI number?
Dr. Simple S. Modi's NPI number is 1487182812. It was assigned on May 30, 2017, and it is active in the NPI Registry.
What kind of doctor is Dr. Simple S. Modi?
Dr. Simple S. Modi is a rheumatologist in Hampton, Virginia. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).
Where does Dr. Simple S. Modi practice?
Dr. Modi practices at 4001 Coliseum Dr, Hampton, VA 23666. Dr. Modi's primary practice is Sngh Rheumatology - Hampton - 801 0254 - HOPD in Hampton, Virginia. Dmand AI also links Dr. Modi to 3 hospitals and 1 group practice or clinic.
What is Dr. Simple S. Modi's medical license number?
Dr. Modi holds Virginia license 0101276540, one of the licenses on file in 2 states.
Which states has Dr. Simple S. Modi been licensed in?
Dmand AI has state licenses on file for Dr. Modi in Virginia and Pennsylvania.
Which hospitals is Dr. Simple S. Modi affiliated with?
Dr. Modi is affiliated with Sentara CarePlex Hospital. Dmand AI links Dr. Modi to 3 more hospitals.
What medical group is Dr. Simple S. Modi part of?
Dr. Modi is linked to Sentara Medical Group.
Does Dr. Simple S. Modi accept Medicare?
Yes. CMS data shows Dr. Modi billed Medicare for 859 services in 2024, and Dr. Modi accepts Medicare assignment.
Does Dr. Simple S. Modi offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Modi as offering telehealth services.
How many Medicare patients does Dr. Simple S. Modi see?
CMS counts 311 Medicare patients who saw Dr. Modi in 2024, with an average age of 72.
Show 6 more questionsShow fewer questions
What services does Dr. Simple S. Modi bill to Medicare?
In 2024, Dr. Modi's most billed Medicare services were office visit, established patient (99214), medicare service (G2211) and office visit, established patient (99215).
What drugs does Dr. Simple S. Modi prescribe most?
In 2024 Medicare Part D data, Dr. Modi's most prescribed drugs by claims were Methotrexate, Prednisone and Hydroxychloroquine Sulfate.
Has Dr. Simple S. Modi received payments from drug or device companies?
CMS Open Payments shows $258 in general payments to Dr. Modi from 2 companies from 2018 to 2022. The largest total came from GlaxoSmithKline, LLC.
How long has Dr. Simple S. Modi been practicing?
Dr. Modi graduated from medical school in 2015, 11 years ago.
Does Dr. Simple S. Modi do research?
Dmand AI links 1 publication to Dr. Modi.
Who does Dr. Simple S. Modi publish with?
Dr. Modi's most frequent co-authors are Sony M. Issac, MD (1 shared paper).
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