DR. ANNA KATHRYN MODISETT MD
NPI 1467839472
Pediatrics - Neonatal-Perinatal Medicine in Dallas, TX
NPI Status: Active since April 28, 2015
- Individual
- Female
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About ANNA MODISETT
This page provides the complete NPI Profile along with additional information for Anna Modisett, a pediatrician established in Dallas, Texas with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1467839472 assigned on April 2015. The practitioner's primary taxonomy code is 2080N0001X with license number S9749 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1467839472
- Provider Name
- DR. ANNA KATHRYN MODISETT MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7777 FOREST LN DALLAS, TX 75230
- Location Phone
- (972) 566-7000
- Mailing Address
- 1121 E SPRING CREEK PKWY. STE. 110, #319 PLANO, TX 75074
- Mailing Phone
- (214) 343-6663
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-28-2015
- Last Update Date
- 06-25-2024
- Code Navigator
A pediatrician like Anna Modisett is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 6200 W Parker Rd
Plano, TX 75093
(214) 343-6663
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- S9749
- License State
- TX
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 80026 (GA) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Anna Modisett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 8 | 3 | 9 | 4 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 16 | 3 | 18 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 6 + 3 + 1 + 8 + 4 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1467839472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023012069 | NIRMAL SAMUEL JAYASEELAN M.D. Individual | Surgery | 7777 FOREST LN STE C670 DALLAS, TX 75230 (972) 566-2263 |
| 1437153491 | KYOO H RHEE M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 7777 FOREST LN D569 DALLAS, TX 75230 (972) 566-8340 |
| 1821092446 | SHARON R SANDELL MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 7777 FOREST LN D569 DALLAS, TX 75230 (972) 566-8340 |
| 1578567194 | MICHELE C PAPO MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 7777 FOREST LN D569 DALLAS, TX 75230 (972) 566-8340 |
| 1184629347 | LEE ANN PEARSE M.D. Individual | Pediatrics (Pediatric Cardiology) | 7777 FOREST LN STE B141 DALLAS, TX 75230 (972) 566-5622 |
| 1134124852 | SOUTHWEST SURGICAL ONCOLOGY ASSOCIATES Organization | Surgery (Surgical Oncology) | 7777 FOREST LN STE C585 DALLAS, TX 75230 (972) 566-4880 |
| 1760487300 | JAMES R MATSON MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 7777 FOREST LN D569 DALLAS, TX 75230 (972) 566-8340 |
| 1740286152 | DR. WAYNE R KIRKHAM MD Individual | Specialist | 7777 FOREST LN STE C506 DALLAS, TX 75230 (972) 566-7515 |
| 1023014214 | EUGENIA HAMMETT RN, CNS Individual | Clinical Nurse Specialist (Psychiatric/Mental Health) | 7777 FOREST LN STE C833 DALLAS, TX 75230 (972) 566-4591 |
| 1962401471 | DR. ELLIOT J GINCHANSKY M.D. Individual | Allergy & Immunology | 7777 FOREST LN SUITE C530 DALLAS, TX 75230 (972) 566-7576 |
| 1619979507 | JEAN MCCLINTOCK M.D., F.A.C.O.G. Individual | Obstetrics & Gynecology | 7777 FOREST LN C-234 DALLAS, TX 75230 (972) 566-7711 |
| 1154323053 | KRISTI RYDER M.D., F.A.C.O.G. Individual | Obstetrics & Gynecology | 7777 FOREST LN C-234 DALLAS, TX 75230 (972) 566-7711 |
| 1104828821 | BRUCE JOHN ROBERTS M.D., F.A.C.O.G. Individual | Obstetrics & Gynecology | 7777 FOREST LN C-234 DALLAS, TX 75230 (972) 566-7711 |
| 1346233517 | FATMA GUL M.D. Individual | Physical Medicine & Rehabilitation | 7777 FOREST LN SUITE C-648 DALLAS, TX 75230 (972) 566-2500 |
| 1619960879 | ANA FREED-SIGURDSSON M.D. Individual | Physical Medicine & Rehabilitation | 7777 FOREST LN BLDG. C STE. A-94, PMB#120 DALLAS, TX 75230 (972) 741-4660 |
| 1952394652 | KIM D VERNON M.D. Individual | Obstetrics & Gynecology | 7777 FOREST LN BLDG D-570 DALLAS, TX 75230 (972) 566-4660 |
| 1285627984 | ALISON M ELMQUIST MD Individual | Obstetrics & Gynecology | 7777 FOREST LN BLDG D-570 DALLAS, TX 75230 (972) 566-4660 |
| 1396738092 | KATHRYN K WALDREP MD Individual | Obstetrics & Gynecology | 7777 FOREST LN BLDG D-570 DALLAS, TX 75230 (972) 566-4660 |
| 1437143930 | DR. JOSEPH J CARLOS M.D., Individual | Obstetrics & Gynecology | 7777 FOREST LN D-560 DALLAS, TX 75230 (972) 566-4862 |
| 1164417358 | DR. LAURENCE A WEIDER M.D. Individual | Plastic Surgery (Surgery of the Hand) | 7777 FOREST LN SUITE B-145 DALLAS, TX 75230 (972) 566-8444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467839472, enumerated in the NPI registry as an "individual" on April 28, 2015
The provider is located at 7777 Forest Ln Dallas, Tx 75230 and the phone number is (972) 566-7000
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 28, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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