Mukherjee & Mukayed MDS PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME51285 Issued in FL

Legal business name

MUKHERJEE & MUKAYED MDS PA

Practice address

5800 49TH St N Ste 204
St Petersburg, FL 33709-2100

Phone

(727) 521-4995

Fax

(727) 289-3420

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Usama Mukayed, MDNPI 1861428260

Title

Ceo

Phone

(727) 521-4995

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MUKHERJEE & MUKAYED MDS PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Usama Mukayed, MD

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1861428260
  Medicare reassignment Authorized official
• Ravi Reddy Kethireddy, MD

  • Interventional Cardiology Physician
  • St Petersburg, FL
  • NPI 1144213422
  NPD (past)
• Haysam Akkad, MD

  • Interventional Cardiology Physician
  • Omaha, NE
  • NPI 1013997741
  NPD (past)
• Safiya A Gordon, A.R.N.P.

  • Nurse Practitioner
  • Minnetonka, MN
  • NPI 1588777858
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1437185709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 204",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-521-4995",
            "fax_number": "727-289-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 204",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-521-4995",
            "fax_number": "727-289-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKHERJEE & MUKAYED MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "MUKAYED",
        "authorized_official_first_name": "USAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-521-4995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME51285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061768700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUKHERJEE & MUKAYED MDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brigitta Ursula Mueller, M.D.
• O. Thomas Mueller, PHD
• Heather Muir, M.A., CCC-SLP
• Sarah Elizabeth Muir, MD
• Usama Mukayed, MD
• Dipak Kumar Mukherjee, MD
• Manishi Mukherjee, MD
• Tuli Mukherjee, CRNA
• Kimberly D. Mularoni, MD
• Philip Patrick Mularoni, MD

• Cardiovascular Disease Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.