NPI age
19 years
Enumerated 2006-10-25
● Active
Type 1 · Individual
John Gregory Modrall, MD
Modrall is 1 of 66 surgery providers in Dallas and 1 of 489 in Texas.
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
TX, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-10-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 489 active surgery providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 49% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
5323 Harry Hines Blvd
Dallas, TX 753907208
Mailing address
Po Box 845347
Dallas, TX 752845347
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
-
SurgeryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8D1525 | MEDICARE |
| 05 (TX) | 106174903 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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