Individual provider Active NPI

Sanjoy Mukerjee, M.D.

  • Family Medicine Physician
  • Lincoln Park, MI
National Provider Identifier
1073760088
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301090277 Issued in MI
Practice address
25650 Outer Dr
Lincoln Park, MI 48146-2096
Phone
(313) 561-5100
Fax
(313) 565-0309
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301090277 MI Primary

Addresses

Primary practice location

25650 Outer Dr
Lincoln Park, MI 48146-2096

Mailing address

2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone (313) 561-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, LA2 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
I20090130000379 MI Practitioner - Family Practice 9436213774 Reassigns benefits to 1 organization
I20191206001242 LA Practitioner - Family Practice 9436213774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25650 Outer Dr
Lincoln Park, MI 48146-2096
Phone (313) 383-1897

26650 Eureka Rd
C1
Taylor, MI 48180-4835
Phone (734) 941-4991

2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone (313) 561-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Western Wayne Family Health Centers CurrentSince Feb 18, 2021 Accepting new patients
Western Wayne Family Health Centers CurrentSince Feb 18, 2021 Accepting new patients
Western Wayne Family Health Centers Past Accepting new patients
Canton Medical Care Center,P.C. Past Accepting new patients

Locations

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100

25650 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-1515

26650 Eureka Rd
Ste C1
Taylor, MI 48180
Phone (734) 941-4991

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

Interoperability endpoints

  • Direct secure messaging: smukerjee721119@direct.hfhs.org
  • Direct secure messaging: sanjoy.mukerjee.1@17288.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1073760088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HAMLIN BLVD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412206",
            "telephone_number": "313-561-5100",
            "fax_number": "313-565-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462096",
            "telephone_number": "313-561-5100",
            "fax_number": "313-565-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKERJEE",
        "first_name": "SANJOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.