Individual provider Active NPI

Deb K Mojumder, MD

  • Neurology Physician
  • Marshfield, WI
National Provider Identifier
1396023818
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
67479-20 Issued in WI
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(171) 538-9078
NPI assigned
Aug 1, 2011
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 88687 MT
Neurology Physician 2084N0400X 4301113680 MI
Neurology Physician 2084N0400X 67885 MN
Neurology Physician 2084N0400X 334021 LA
Neurology Physician 2084N0400X 67479-20 WI Primary
Neurocritical Care Physician 2084A2900X 19823 NH
Neurocritical Care Physician 2084A2900X 67479-20 WI
Neurocritical Care Physician 2084A2900X 334021 LA

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5703

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

9110 College Pointe Ct
Fort Myers, FL 33919-3244
Phone (239) 208-2212

Other practice location 2

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2121

Other practice location 3

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3980

Other practice location 4

3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3230

Other practice location 5

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, SC, MN, LA, SD, NM6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20170818001936 WI Practitioner - Neurology 4183928849 Reassigns benefits to 11 organizations
I20200608001041 SC Practitioner - Neurology 4183928849
I20211204000157 MN Practitioner - Neurology 4183928849 Reassigns benefits to 3 organizations
I20230328001392 LA Practitioner - NeurologyPractitioner - Critical Care (Intensivists) 4183928849 Reassigns benefits to 1 organization
I20230425002927 SD Practitioner - Neurology 4183928849 Reassigns benefits to 1 organization
I20260601003467 NM Practitioner - Neurology 4183928849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

6100 Pan American E Fwy NE
Suite 340
Albuquerque, NM 87109-3574
Phone (505) 823-8777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19823NHMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 23, 2023 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2023 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 19, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Avera McKennan CurrentSince Jan 1, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 19, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 19, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 19, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 17, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 23, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Oct 1, 2022 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Feb 1, 2026 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 19, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 19, 2024 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Aug 1, 2020 Accepting new patients
The Neuroscience Group of Northeast Wisconsin SC Neurology CurrentSince Jul 1, 2021 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Feb 1, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 19, 2024 Accepting new patients
Fairview Express Care CurrentSince Feb 1, 2026 Accepting new patients
Avera McKennan Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 19, 2024 Accepting new patients
Park Nicollet Clinic Family Medicine Current Accepting new patients
Fairview Express Care CurrentSince Feb 1, 2026 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 1, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 19, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 19, 2024 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients

Locations (25 of 30)

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2315 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 212-7600

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

2695 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 495-8490

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1747 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 232-3900

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

Interoperability endpoints

  • Direct secure messaging: dmojumder@crhn.cernerdirect.com
  • Direct secure messaging: dmojumder1683596@direct.ochsner.org
  • Direct secure messaging: dmojumder735702@direct.emplifyhealth.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 8

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1396023818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "171-538-9078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 College Pointe Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193244",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Pine Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "54401",
            "country_code": "US",
            "telephone_number": "715-847-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-842-3980",
            "fax_number": "504-842-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 Louisiana Ave S",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554265000",
            "country_code": "US",
            "telephone_number": "952-993-3230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOJUMDER",
        "first_name": "DEB",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "88687",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301113680",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "67885",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "334021",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "67479-20",
            "primary": true
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NH",
            "license": "19823",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "WI",
            "license": "67479-20",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "LA",
            "license": "334021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N OAK AVE",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.