Active NPI
Debmalya Mukherjee, MD
- Hospitalist Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 044815
- Practice address
- 75 State St FL 26
Boston, MA 02109-1827 - Phone
- (855) 347-4108
- Fax
- (616) 830-8213
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 044815 | CT | |
| Internal Medicine Physician | 207R00000X | 233803 | MA | |
| Hospitalist Physician | 208M00000X | 233803 | MA | |
| Hospitalist Physician | 208M00000X | 044815 | CT | Primary |
Addresses
Primary practice location
75 State St FL 26
Boston, MA 02109-1827
Mailing address
2842 Main St Ste 305
Glastonbury, CT 06033-1077
Other practice location 1
2 Manhattanville Rd
Purchase, NY 10577-2113
Phone (800) 835-2362
Other practice location 2
1498 Pacific Ave Ste 500
Tacoma, WA 98402-4210
Phone (888) 359-3684
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001448150 | Medicaid | CT | |
| 1356371744 | Other | CT | CIGNA |
| 134550 | Other | MA | FALLON |
| 510492088 | Other | MA | UHC |
| AA113569 | Other | MA | HPHC |
| 9585080 | Other | AETNA | |
| CT0000439 | Other | TRICARE | |
| 010044815CTD1 | Other | CT | BCBS |
| 510492088 | Other | MA | CIGNA |
| J42785 | Other | MA | BCBS |
| 2148480 | Medicaid | MA | |
| 44815 | Other | CONNECTICARE |
Other names 1
- Mr. Deb Mukherjee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044815 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Massachusetts II PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Connecticut, LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Associates LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Physicians of Massachusetts PC | Internal Medicine | Current | Accepting new patients |
| Inpatient Medical Consultants PLLC | Internal Medicine | Past | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Internal Medicine | Past | Accepting new patients |
| Associated Internists of Tucson, PLLC | Internal Medicine | Past | Accepting new patients |
Locations
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1558696153
-
- Hospitalist Physician
- Framingham, MA
- NPI 1376145680
Internal Medicine
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
CT, Internal Medicine
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1558318345
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1326073800
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Vernon, CT
- NPI 1508736224
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1356371744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2842 MAIN ST STE 305",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 STATE ST FL 26",
"city": "BOSTON",
"state": "MA",
"postal_code": "021091827",
"telephone_number": "855-347-4108",
"fax_number": "616-830-8213"
}
],
"practiceLocations": [
{
"address_1": "2 Manhattanville Rd",
"address_purpose": "LOCATION",
"city": "Purchase",
"state": "NY",
"postal_code": "105772113",
"country_code": "US",
"telephone_number": "800-835-2362",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1498 Pacific Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984024210",
"country_code": "US",
"telephone_number": "888-359-3684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKHERJEE",
"first_name": "DEBMALYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2024-11-29",
"certification_date": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "044815",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "233803",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "233803",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "044815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001448150",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1356371744",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "134550",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "510492088",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA113569",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9585080",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "CT0000439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010044815CTD1",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "510492088",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J42785",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2148480",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "44815",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEB",
"last_name": "MUKHERJEE",
"prefix": "MR.",
"credential": "M.D., M.B.A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.