Individual provider Active NPI

Aman Banerjee, M.D.

  • Surgery Physician
  • North Chesterfield, VA
National Provider Identifier
1174765705
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101259804 Issued in VA
Practice address
1051 Johnston Willis Dr Ste 200
North Chesterfield, VA 23235-4871
Phone
(804) 320-2705
Fax
(804) 330-2433
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101259804 VA Primary

Addresses

Primary practice location

1051 Johnston Willis Dr Ste 200
North Chesterfield, VA 23235-4871

Mailing address

1051 Johnston Willis Dr
#200
North Chesterfield, VA 23235-4871
Phone (804) 320-2705

Other identifiers 1

IdentifierTypeStateIssuer
C00152OtherVAGROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMAN.BANERJEE@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160801001850 VA Practitioner - General Surgery 1052559572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Healthcare of Central Virginia IncGroup PAC ID 9234118340, 34 clinicians

Practice addresses (Care Compare)

1051 Johnston Willis Dr
Suite 200
North Chesterfield, VA 23235-4871
Phone (804) 320-2705

1401 Johnson Willis Dr
Richmond, VA 23235-4730
Phone (804) 330-2000

1457 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 716-5520

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 254-5100

7101 Jahnke Rd
Richmond, VA 23225-4017

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
73.52
Promoting interoperability
99
Improvement activities
40
Cost
75.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)12
Hernia repair (minimally invasive)27
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259804VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Healthcare of Central Virginia Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7112 Cosby Village Rd
Chesterfield, VA 23832
Phone (804) 267-6931

1051 Johnston Willis Dr
Ste 200
North Chesterfield, VA 23235
Phone (804) 320-2705

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Organizations & group practices 1

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 1

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1174765705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 JOHNSTON WILLIS DR",
            "address_2": "#200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354871",
            "telephone_number": "804-320-2705",
            "fax_number": "804-330-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNSTON WILLIS DR STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354871",
            "telephone_number": "804-320-2705",
            "fax_number": "804-330-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "AMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101259804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C00152",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMAN.BANERJEE@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1051 Johnston Willis Dr Ste 200",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232354871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.