Individual provider Active NPI

Debmalya Mukherjee, MD

  • Hospitalist Physician
  • Boston, MA
National Provider Identifier
1356371744
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
044815 Issued in CT
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

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001448150MedicaidCT
1356371744OtherCTCIGNA
134550OtherMAFALLON
510492088OtherMAUHC
AA113569OtherMAHPHC
9585080OtherAETNA
CT0000439OtherTRICARE
010044815CTD1OtherCTBCBS
510492088OtherMACIGNA
J42785OtherMABCBS
2148480MedicaidMA
44815OtherCONNECTICARE

Other names 1

  • Mr. Deb Mukherjee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070314000449 CT Practitioner - Internal MedicinePractitioner - Hospitalist 2163427014 Reassigns benefits to 3 organizations
I20080315000022 MA Practitioner - Internal MedicinePractitioner - Hospitalist 2163427014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Connecticut LLCGroup PAC ID 8628104072, 36 clinicians

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

LicenseStateTypeSpecialty
044815CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Hospitalist Physicians of Massachusetts PC Internal Medicine CurrentSince May 5, 2022 Accepting new patients
Inpatient Medical Consultants PLLC Internal Medicine PastSince Nov 10, 2010 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.