NPIMap

Individual provider Active NPI

Samik Banerjee, M.B.B.S

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Hershey, PA
National Provider Identifier
1174942486
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD465730 Issued in PA
Practice address
30 Hope Dr
Hershey, PA 17033-2036
Phone
(717) 531-5638
Fax
(717) 531-0983
NPI assigned
Apr 15, 2014
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 63416 NY
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD465730 PA Primary

Addresses

Primary practice location

30 Hope Dr
Hershey, PA 17033-2036

Mailing address

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 1

43 New Scotland Ave
Department of Orthopaedic Surgery
Albany, NY 12208-3412
Phone (518) 262-3095

Other practice location 2

111 S 11th St Ste 2170
Philadelphia, PA 19107-4824
Phone (215) 955-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716002728 PA Practitioner - Orthopedic Surgery 1153669403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement24
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD465730PAMDAdult Reconstructive Orthopaedic Surgery Physician
63416NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Mar 1, 2025 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Aug 1, 2025 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Aug 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Adult Reconstructive Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

1926 Good Hope Rd
Enola, PA 17025

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

3100 Schoolhouse Rd
Middletown, PA 17057
Phone (717) 948-5180

1855 Powder Mill Rd
York, PA 17402

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

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 8

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1174942486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-5638",
            "fax_number": "717-531-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 New Scotland Ave",
            "address_2": "Department of Orthopaedic Surgery",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-3095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 11th St Ste 2170",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "SAMIK",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "63416",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PA",
            "license": "MD465730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.