Individual provider Active NPI

Subhajit Mukherjee, M.D., PH.D.

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1053684696
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
V6068 Issued in TX
Practice address
6400 Fannin St Ste 1400
Houston, TX 77030-1512
Phone
(713) 500-7333
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X V6068 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6400 Fannin St Ste 1400
Houston, TX 77030-1512

Mailing address

6400 Fannin St Ste 1400
Houston, TX 77030-1512
Phone (713) 500-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 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
I20180530001300 OR Practitioner - Gastroenterology 8022373711 Reassigns benefits to 2 organizations
I20250829001890 TX Practitioner - Gastroenterology 8022373711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Corvallis Clinic P CGroup PAC ID 1456244540, 128 clinicians
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150

6400 Fannin St
Suite 1400
Houston, TX 77030-1512
Phone (713) 704-3450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
84.81
Promoting interoperability
100
Improvement activities
40
Cost
75.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Upper gastrointestinal (GI) endoscopy for acid reflux60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V6068TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 15, 2025 Accepting new patients
The Corvallis Clinic P C CurrentSince Aug 31, 2023 Accepting new patients
Centennial Medical Group Inc. Gastroenterology CurrentSince Jul 1, 2018 Accepting new patients
Ut Physicians CurrentSince Sep 15, 2025 Accepting new patients

Locations

444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2510 NW Edenbower Blvd
Ste 112
Roseburg, OR 97471
Phone (541) 464-6260

6431 Fannin St
#4232
Houston, TX 77030
Phone (713) 500-6631

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
#135
Houston, TX 77030

1631 North Loop W
Ste 560
Houston, TX 77008
Phone (713) 486-1190

6400 Fannin St
Ste 1400
Houston, TX 77030
Phone (713) 500-6677

6410 Fannin St
Ste 600
Houston, TX 77030
Phone (832) 325-7100

Interoperability endpoints

  • Direct secure messaging: smukherjee746185@memorialhermann.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4

Organizations & group practices 4

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": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1053684696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301512",
            "telephone_number": "713-500-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301512",
            "telephone_number": "713-500-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "SUBHAJIT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "V6068",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.