Active NPI
Subhra Banerjee, M.D.
- Gastroenterology Physician
- Harrisburg, PA
National Provider Identifier
1043478407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD445258
- Practice address
- 4387 Sturbridge Dr
Harrisburg, PA 17110-3673 - Phone
- (717) 238-3111
- NPI assigned
- Jun 1, 2008
- Last updated
- Sep 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD445258 | PA | Primary |
Addresses
Primary practice location
4387 Sturbridge Dr
Harrisburg, PA 17110-3673
Mailing address
423 N 21St St
Ste 100
Camp Hill, PA 17011-2207
Phone (717) 761-0930
Other practice location 1
423 N 21st St
Ste 100
Camp Hill, PA 17011-2207
Phone (717) 761-0930
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | subhrabanerjee@jg.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
423 N 21St St
Suite 100
Camp Hill, PA 17011-2207
Phone (717) 761-0930
4387 Sturbridge Dr
Harrisburg, PA 17110-3673
Phone (717) 238-3111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 153 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Siegelbaum Gastroenterology LTD | Single Specialty | Current | Accepting new patients |
| West Shore Endoscopy Center LLC | Past | Accepting new patients | |
| Capital Anesthesia LLC | Single Specialty | Past | Accepting new patients |
Locations
200 Grandview Ave
Ste 101
Camp Hill, PA 17011
423 N 21st St
Ste 100
Camp Hill, PA 17011
Phone (717) 525-6488
4387 Sturbridge Dr
Harrisburg, PA 17110
Phone (717) 238-3111
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGCHDD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Camp Hill, PA
- NPI 1902866205
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Camp Hill, PA
- NPI 1447210737
Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Camp Hill, PA
- NPI 1326047937
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1043478407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N 21ST ST",
"address_2": "STE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112207",
"telephone_number": "717-761-0930",
"fax_number": "717-761-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4387 STURBRIDGE DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103673",
"telephone_number": "717-238-3111"
}
],
"practiceLocations": [
{
"address_1": "423 N 21st St",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112207",
"country_code": "US",
"telephone_number": "717-761-0930",
"fax_number": "717-761-0465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANERJEE",
"first_name": "SUBHRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-01",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD445258",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "subhrabanerjee@jg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "4387 Sturbridge Dr",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171103673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.