Individual provider

Susan Modesitt, M.D.

Gynecologic Oncology Physician Medicare enrolled

Susan Modesitt, M.D. is a Gynecologic Oncology Physician in Charlottesville, VA, registered under NPI 1427070598.

Getting there

The practice address on file is 1240 LEE ST, Charlottesville, VA 22908. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1240 LEE ST, Charlottesville, VA 22908 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
91037 GA Gynecologic Oncology Physician primary
0101240037 VA Gynecologic Oncology Physician

Licences are recorded in 2 states: GA, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Gynecological Oncology
PAC ID
1052301645

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Virginia I20060915000416 Practitioner - Gynecological Oncology
Georgia I20220207000378 Practitioner - Gynecological Oncology

Medicare enrolment is recorded as approved under the provider type Practitioner - Gynecological Oncology. There are 2 separate enrolment records across 2 states (VA, GA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and Virginia. The practice address on file is in Charlottesville, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia
Licence
91037
Specialty
Gynecologic Oncology Physician
Verify with the GA board →
VA Virginia practice address
Licence
0101240037
Specialty
Gynecologic Oncology Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Gynecologic Oncology covers

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. NUCC Health Care Provider Taxonomy, code 207VX0201X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology Gynecologic Oncology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207VX0201X Gynecologic Oncology Physician Gynecologic Oncology 91037 GA primary
207VX0201X Gynecologic Oncology Physician Gynecologic Oncology 0101240037 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1427070598 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 24, 2006
Last updatedMar 28, 2022
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1240 LEE ST
Charlottesville, VA 22908
(434) 924-9333
Fax (434) 244-7526
Mailing address EMORY UNIVERSITY HOSPITAL 1364 CLIFTON ROAD
Atlanta, GA 30322
The last update on file is Mar 28, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1427070598 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 2 7 0 7 0 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 4 7 0 7 0 5 9

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1427070598?
NPI 1427070598 is the National Provider Identifier assigned to Susan Modesitt, M.D. in Charlottesville, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gynecologic Oncology cover?
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
How do I contact Susan Modesitt, M.D.?
The phone number on file with NPPES is (434) 924-9333, last updated Mar 28, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Susan Modesitt, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1427070598 a valid number?
Yes. 1427070598 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.