Individual provider Active NPI

Labony Mookerjee, M.D.

  • Family Medicine Physician
  • Laingsburg, MI
National Provider Identifier
1285840637
Registry record updated Dec 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301088439 Issued in MI
Practice address
317 E Grand River Rd
Laingsburg, MI 48848-8742
Phone
(517) 651-5018
NPI assigned
May 15, 2007
Last updated
Dec 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301088439 MI Primary

Addresses

Primary practice location

317 E Grand River Rd
Laingsburg, MI 48848-8742

Mailing address

6220 Whitehills Lake Dr
East Lansing, MI 48823-9416
Phone (517) 664-2573

Other names 1

  • Labani Mukhopadhyay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100116000142 MI Practitioner - Family Practice 9537201355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

2104 Jolly Rd
Suite 240
Okemos, MI 48864-6038
Phone (517) 975-3800

5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088439MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520

317 E Grand River Rd
Laingsburg, MI 48848
Phone (517) 651-2801

6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720

2104 Jolly Rd
Ste 240
Okemos, MI 48864
Phone (517) 975-3800

Organizations & group practices 3

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 3

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355011200000",
    "number": "1285840637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 WHITEHILLS LAKE DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239416",
            "telephone_number": "517-664-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E GRAND RIVER RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488742",
            "telephone_number": "517-651-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOKERJEE",
        "first_name": "LABONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LABANI",
            "last_name": "MUKHOPADHYAY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laingsburg, MI

Sources for this page

Verify at the official NPI Registry.