Organization Active NPI

Kumar Mukerjee MD Inc

  • Specialist
  • Springfield, OH
National Provider Identifier
1215931969
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35035615M Issued in OH
Legal business name
KUMAR MUKERJEE MD INC
Doing business as
Kumar Mukerjee MD Inc
Practice address
25 W Harding Rd
Springfield, OH 45504-1341
Phone
(937) 399-0453
Fax
(937) 399-2847
NPI assigned
Jun 10, 2005
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. Kumar Mukerjee, MDNPI 1831380534
Title
Owner
Phone
(937) 399-0453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35035615M OH Primary

Addresses

Primary practice location

25 W Harding Rd
Springfield, OH 45504-1341

Mailing address

25 W Harding Rd
Springfield, OH 45504-1341
Phone (937) 399-0453

Other identifiers 6

IdentifierTypeStateIssuer
000000008671OtherOHONE NATION INSURANCE
0277365MedicaidOH
280562303003OtherOHMEDICAL MUTUAL OF OHIO
000000008671OtherOHANTHEM
2920111OtherOHUHC
100007296OtherOHRAILROAD MEDICARE

Other names 1

  • KUMAR MUKERJEE MD INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1215931969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W HARDING RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041341",
            "telephone_number": "937-399-0453",
            "fax_number": "937-399-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W HARDING RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041341",
            "telephone_number": "937-399-0453",
            "fax_number": "937-399-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR MUKERJEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "MUKERJEE",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-399-0453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35035615M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE NATION INSURANCE",
            "identifier": "000000008671",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277365",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "280562303003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000008671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2920111",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100007296",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KUMAR MUKERJEE MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.