Individual provider Active NPI

Rita Mukerji, MD

  • Hospitalist Physician
  • Florissant, MO
National Provider Identifier
1023218807
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036138092 Issued in IL
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

Updated by the provider on Aug 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201056370MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100910000521 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305961673 Reassigns benefits to 3 organizations
I20150831002407 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 6305961673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Southern Illinois University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

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 Hospital, Decatur, IL, CCN 140135
  • St Marys Hospital Hospital, Decatur, IL, CCN 140166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010015033MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 10, 2018 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 10, 2018 Accepting new patients
Citizens Memorial Healthcare Hospitalist CurrentSince Jan 25, 2021 Accepting new patients
Citizens Memorial Healthcare CurrentSince Jan 25, 2021 Accepting new patients
SSM Medical Group Inc. CurrentSince Jul 1, 2019 Accepting new patients
SSM Health Care St Louis Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
SSM Medical Group, Inc. Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Aug 28, 2018 Accepting new patients
Decatur Memorial Hospital Cardiovascular Disease CurrentSince Nov 17, 2021 Accepting new patients
Decatur Memorial Hospital CurrentSince Nov 17, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.