Prashant K Mukerjee, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

C54408 Issued in CA

Practice address

35673 Country Park Dr
Wildomar, CA 92595-7840

Phone

(951) 973-8130

Fax

(951) 808-0957

NPI assigned

Aug 14, 2006

Last updated

Jan 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pulmonary Medical Consultants Inc

  • Pulmonary Disease Physician
  • Darby, PA
  • NPI 1215993233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1154334936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27890 CLINTON KEITH RD STE 2",
            "address_2": "MAIL BOX 380",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628571",
            "telephone_number": "951-973-8130",
            "fax_number": "951-808-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35673 COUNTRY PARK DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957840",
            "telephone_number": "951-973-8130",
            "fax_number": "951-808-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKERJEE",
        "first_name": "PRASHANT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C54408",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD016833E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH",
            "identifier": "2Y5985",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "159440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE COMPANY",
            "identifier": "159440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DES140",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005990740002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA U.S. HEALTHCARE",
            "identifier": "159440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLN",
            "identifier": "31903A",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE M/C & M.A.",
            "identifier": "0059907407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0061650000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIORPARTNERS HEALTHPART",
            "identifier": "E55499",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Moreno
• Marisol Moreno
• Ricardo Moreno
• Haley Morgenfruh
• Jerelyn Morrow
• Kayla Mullins
• Theresa Muravez
• Kennedy Murdock
• Piper Murphy, RBT
• Murrieta Pathology Medical Associates Inc

• Pulmonary Disease Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.