Sibdas Mukherjee Mukhopadhyay, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME142611 Issued in FL

Practice address

14750 NW 77TH CT Ste 106
Miami Lakes, FL 33016-1507

Phone

(305) 698-4000

Fax

(305) 698-4014

NPI assigned

Jul 13, 2005

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 1

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

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

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.

• Healthcare Group of South Florida, Corp

  • Gynecology Physician
  • Miami Lakes, FL
  • NPI 1265006936
  NPD

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1245238179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "305-698-4000",
            "fax_number": "305-698-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "305-698-4000",
            "fax_number": "305-698-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJEE MUKHOPADHYAY",
        "first_name": "SIBDAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "172503",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME142611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Motta
• Tracey Moulton, LMHC
• Ms Alliance Health Group Corp
• Ms Medical Enterprises Inc.
• MSG Dental LLC
• Stephanie Mulligan
• Bianca Muniz
• Elyam Munoz
• Alys Muro
• Musictoheal Corp

• Gynecology Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.