Suresh K Mukherji, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301077390 Issued in MI

Practice address

804 Service Rd
D100
East Lansing, MI 48824-7015

Phone

(517) 353-5053

Fax

(517) 432-4394

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI, GU, OH, KY, FL5 enrollments

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 5

Specialty

Diagnostic Radiology

Education

Georgetown University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians

Nicholasville Road MRI, LLCGroup PAC ID 5395718670, 23 clinicians

University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Columbus Radiology Physicians LLCGroup PAC ID 3971863416, 56 clinicians

Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

CT at MidtownGroup PAC ID 9335045681, 34 clinicians

Proscan Radiology Northern Kentucky, LLCGroup PAC ID 9537417399, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Naples Community Hospital Hospital, Naples, FL, CCN 100018
• Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
• University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

Merit-based Incentive Payment System (MIPS)

Final score

19.04 of 100Reported as group

Quality

4.75

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as group

Quality

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Columbus Radiology Physicians LLC

  • Diagnostic Radiology Physician
  • Columbus, IN
  • NPI 1467964718

  OH

  Medicare reassignment Care Compare group NPD
• CT at Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1508856667
  Medicare reassignment Care Compare group NPD
• Proscan NCH Imaging LLC

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1003406711
  Medicare reassignment Care Compare group NPD
• Proscan Radiology Northern Kentucky, LLC

  • Diagnostic Radiology Physician
  • Crestview Hills, KY
  • NPI 1225535966
  Medicare reassignment Care Compare group NPD
• Proscan Radiology, LLC

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1588654610
  Medicare reassignment Care Compare group NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment Care Compare group NPD
• Nicholasville Road MRI, LLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1740270818
  Medicare reassignment Care Compare group
• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment NPD
• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment NPD
• Proscan Womens Imaging at Redbank

  dba Proscan Womens Imaging Center

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1013907120
  Medicare reassignment NPD
• Radadvantage a Professional Corporation

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1376719666

  MI

  Medicare reassignment NPD
• Cincinnati Imaging Leasing Company, LTD.

  dba ProScan Imaging Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1447240502
  NPD

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

• Columbus Regional Hospital

  • General Acute Care Hospital
  • Columbus, IN
  • NPI 1104998624
  Care Compare affiliation
• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• University Medical Center, Inc

  dba DBA University of Lousiville Hospital

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1861554438
  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1326129453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "ROOM A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "D100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-5053",
            "fax_number": "517-432-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJI",
        "first_name": "SURESH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MI",
            "license": "4301077390",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M-2189",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301077390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326129453",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4284028",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Msu Health Care Inc.
• Msu Health Care, Inc
• Aishwariya Mudunuri
• Jamie Mueller-Smith, D.O
• Deepti Kaul Mughal, M.D.
• Michael Aidan Mullarkey
• Kevin Timothy Mullin, DDS
• Cassandra Nicole Mullings
• Jasdeep Multani
• Paul Mulvey, DO

• Diagnostic Radiology Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.