Active NPI
Sanjoy Mukerjee, M.D.
- Family Medicine Physician
- Lincoln Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301090277
- 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
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 |
|---|---|---|---|---|
| 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, LA
- 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Family Medicine | Current | Accepting new patients |
| Western Wayne Family Health Centers | Current | Accepting new patients | |
| Western Wayne Family Health Centers | Current | 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
- smukerjee721119@direct.hfhs.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Inkster, MI
- NPI 1972530277
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
dba Western Wayne Family Health Centers - Ecorse Schools
- Federally Qualified Health Center (FQHC)
- Ecorse, MI
- NPI 1316510860
-
- Federally Qualified Health Center (FQHC)
- Lincoln Park, MI
- NPI 1508280116
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.