Active NPI
Rita Mukerji, MD
- Hospitalist Physician
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036138092
- Practice address
- 1225 Graham Rd Ste C-2310
Florissant, MO 63031 - Phone
- (314) 953-6300
- Fax
- (314) 953-6309
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 2010015033 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 036138092 | IL | |
| Hospitalist Physician | 208M00000X | 036138092 | IL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 01070696A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 2010015033 | MO |
Addresses
Primary practice location
1225 Graham Rd Ste C-2310
Florissant, MO 63031
Mailing address
670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141-8573
Phone (314) 953-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201056370 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- 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
- Southern Illinois University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121
241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220
389 W Weaver Rd
Suite 100
Forsyth, IL 62535-9800
Phone (217) 876-5390
Hospital & facility affiliations
- Decatur Memorial Hospital
- St Marys Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010015033 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Citizens Memorial Healthcare | Hospitalist | Current | Accepting new patients |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Health Care St Louis | Cardiovascular Disease | Current | Accepting new patients |
| SSM Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| Decatur Memorial Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
2300 N Edward St
Ste 2350
Decatur, IL 62526
Phone (217) 876-2400
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 220
Mount Vernon, IL 62864
Phone (618) 899-3900
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
1027 Bellevue Ave
Ste 200
Saint Louis, MO 63117
Phone (314) 644-3336
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
Interoperability endpoints
- mukerjir@yourcarecommunity.org
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1164477725
Cardiovascular Disease
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
Cardiovascular Disease
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
Cardiovascular Disease
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Hospitalist Physician
- Effingham, IL
- NPI 1174022362
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1023218807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 MASON RIDGE CENTER DR",
"address_2": "STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418573",
"telephone_number": "314-953-6300",
"fax_number": "314-953-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 GRAHAM RD STE C-2310",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "63031",
"telephone_number": "314-953-6300",
"fax_number": "314-953-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKERJI",
"first_name": "RITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "2010015033",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036138092",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036138092",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01070696A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2010015033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201056370",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.