Individual provider Active NPI

Ashis Mukherjee, MD

  • Interventional Cardiology Physician
  • San Bernardino, CA
National Provider Identifier
1487708343
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G70671 Issued in CA
Practice address
399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808
Phone
(909) 881-7400
Fax
(909) 881-5217
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G70671 CA
Cardiovascular Disease Physician 207RC0000X G70671 CA
Interventional Cardiology Physician 207RI0011X G70671 CA Primary

Addresses

Primary practice location

399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808

Mailing address

399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808
Phone (909) 881-7400

Other identifiers 1

IdentifierTypeStateIssuer
00G706710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001236 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6608862156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
JS Weill Medical College, Cornell University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inland Empire Cardiovascular Consultants IncGroup PAC ID 8628399102, 6 clinicians

Practice addresses (Care Compare)

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500

6950 Brockton Ave
Suite 1
Riverside, CA 92506-3830
Phone (951) 684-6464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
82.43
Promoting interoperability
100
Improvement activities
40
Cost
65.06

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70671CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Cardiovascular Consultants, Inc. Cardiovascular Disease CurrentSince May 1, 2015 Accepting new patients
Cardiovascular Specialists of Redlands and the Inland Empire LLC Cardiovascular Disease CurrentSince May 29, 2024 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Ie Cardiology Faculty Medical Associates Cardiovascular Disease Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Primecare Medical Group Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

10601 Church St
Ste 105
Rch Cucamonga, CA 91730
Phone (909) 989-7100

1752 E Lugonia Ave
Ste 1171124
Redlands, CA 92374

255 Terracina Blvd
Ste 104B
Redlands, CA 92373
Phone (909) 793-3293

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

6950 Brockton Ave
Ste 1
Riverside, CA 92506
Phone (909) 883-8938

374 E Vanderbilt Way
Ste 1
San Bernardino, CA 92408
Phone (909) 686-0038

399 E Highland Ave
Ste 209
Sn Bernrdno, CA 92404
Phone (909) 883-8938

399 E Highland Ave
Ste 110
Sn Bernrdno, CA 92404
Phone (909) 881-7623

374 E Vanderbilt Way
Sn Bernrdno, CA 92408
Phone (909) 280-5557

399 E Highland Ave
Ste 307
Sn Bernrdno, CA 92404
Phone (909) 881-7400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1487708343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "ASHIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G70671",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G70671",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G70671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G706710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.