Individual provider Active NPI

Monica Monidipa Banerjee, MD

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1093782625
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32404 Issued in AZ
Practice address
501 W Ray Rd
Suite 6
Chandler, AZ 85225-7284
Phone
(602) 492-3565
Fax
(602) 492-3565
NPI assigned
Mar 2, 2006
Last updated
Mar 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32404 AZ Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 32404 AZ

Addresses

Primary practice location

501 W Ray Rd
Suite 6
Chandler, AZ 85225-7284

Mailing address

PO Box 7764
Chandler, AZ 85246-7764
Phone (480) 291-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000448 AZ Practitioner - Internal Medicine 2769474576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3180 N Alma School Rd
Suite 2
Chandler, AZ 85224-1429
Phone (602) 245-4141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32404AZMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shanti Hospice LLC Family Medicine CurrentSince May 6, 2024 Accepting new patients
Prodigee Inpatient Physicians Group, P.L.L.C. Past Accepting new patients
Gregg Smith D.O., P.C. Past Accepting new patients

Locations

3180 N Alma School Rd
Ste 2
Chandler, AZ 85224
Phone (602) 245-4141

501 W Ray Rd
Ste 6
Chandler, AZ 85225
Phone (602) 245-4141

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shanti Hospice LLCChandler, AZ, CCN 031643 Hospice Contracted Managing Employee Jun 25, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1093782625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7764",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467764",
            "telephone_number": "480-291-4142",
            "fax_number": "480-478-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W RAY RD",
            "address_2": "SUITE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257284",
            "telephone_number": "602-492-3565",
            "fax_number": "602-492-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "MONICA",
        "middle_name": "MONIDIPA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32404",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "32404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.