Dr. Paul Modlinger M.D.
About this NPIWhat this record shows.
NPI 1053405688 is registered to Dr. Paul Modlinger M.D., a Nephrology Physician practising at 3930 Walnut Street, Suite 101 in Fairfax, Virginia. Nephrology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Paul Modlinger M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Other
- 9202002· Issued by CIGNA
- 47430007· Issued by CAREFIRST
- 2128905· Issued by MAMSI
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20041113000078NephrologyDC
- I20120724000239NephrologyVA
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Paul Modlinger M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Paul Modlinger M.D. directly at (703) 246-9246.
Frequently asked
Yes. NPI 1053405688 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Nephrology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (703) 246-9246.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Paul Modlinger M.D. is a Type-1 individual NPI.