Active NPI
Dahlia Banerji, M.D.
- Cardiovascular Disease Physician
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 302416
- Practice address
- 111 Maltese Dr
Middletown, NY 10940-2115 - Phone
- (845) 342-4774
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 248454 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 302416 | NY | Primary |
Addresses
Primary practice location
111 Maltese Dr
Middletown, NY 10940-2115
Mailing address
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-6177
Other practice location 1
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-6177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302416 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 740-0600
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
142 Berkeley St
Boston, MA 02116-5100
Phone (617) 859-5000
20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2500
228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000
291 Independence Dr
Chestnut Hill, MA 02467-3628
Phone (617) 325-2800
31 Pine St
Suite 300
Norfolk, MA 02056-1680
Phone (781) 493-7200
40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000
77 Herrick St
Suite 101
Beverly, MA 01915-2734
Phone (978) 927-4110
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
- Emerson Hospital -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248454 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Internal Medicine | Current | Accepting new patients |
| Atrius Health, Inc. | Internal Medicine | Current | Accepting new patients |
| Middletown Medical PC | Internal Medicine | Current | Accepting new patients |
| Middletown Medical PC | Current | Accepting new patients | |
| Atrius Health, Inc. | Internal Medicine | Past | Accepting new patients |
| Beth Israel Deaconess Medical Center, Inc. | Past | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
20 Wall St
Burlington, MA 01803
Phone (781) 221-2500
111 Maltese Dr
Middletown, NY 10940
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dbanerji255489@direct.bilh.masshiway.net
- dbanerjimd322171@direct.atrius.masshiway.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1003103367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402115",
"telephone_number": "845-342-4774"
}
],
"practiceLocations": [
{
"address_1": "123 Summer St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016081216",
"country_code": "US",
"telephone_number": "508-363-6177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANERJI",
"first_name": "DAHLIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "248454",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "302416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "302416",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.