NPIMap

Individual provider Active NPI

Disha Mookherjee, M.D.

  • Cardiovascular Disease Physician
  • Duluth, MN
National Provider Identifier
1225295108
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
52008 Issued in MN
Practice address
1001 E Superior St
Ste. L201
Duluth, MN 55802-2207
Phone
(218) 249-3057
Fax
(218) 249-3091
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 52008 MN Primary

Addresses

Primary practice location

1001 E Superior St
Ste. L201
Duluth, MN 55802-2207

Mailing address

1001 E Superior St
Ste. L201
Duluth, MN 55802-2207
Phone (218) 249-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191111002452 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345394714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8343

6 Medical Park Dr
Suite 205
Malta, NY 12020-5053
Phone (518) 886-5080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Dec 22, 2020 Accepting new patients
Saratoga Hospital CurrentSince Oct 1, 2019 Accepting new patients
Saratoga Hospital Cardiovascular Disease CurrentSince Oct 1, 2019 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

6 Medical Park Dr
Ste 206
Malta, NY 12020
Phone (518) 289-2718

6 Medical Park Dr
Ste 205
Malta, NY 12020
Phone (518) 583-0111

254 Church St
Saratoga Springs, NY 12866
Phone (518) 587-8800

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

Interoperability endpoints

  • Direct secure messaging: dmookherjee100382@albanymed.direct-ci.com

Organizations & group practices 6

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1225295108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E SUPERIOR ST",
            "address_2": "STE. L201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022207",
            "telephone_number": "218-249-3057",
            "fax_number": "218-249-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E SUPERIOR ST",
            "address_2": "STE. L201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022207",
            "telephone_number": "218-249-3057",
            "fax_number": "218-249-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOKHERJEE",
        "first_name": "DISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "52008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.