Matthew K. Mukherjee, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A102444 Issued in CA

Practice address

50 Alessandro PL Ste 410
Pasadena, CA 91105-3175

Phone

(626) 793-7114

Fax

(626) 793-7679

NPI assigned

Feb 25, 2008

Last updated

May 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.mukherjee@lbgastro.directbygreenway.com
• Direct secure messaging: matthew.mukherjee.1@3663.direct.athenahealth.com

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.

• Genesis Healthcare Partners PC

  • Specialist
  • Encinitas, CA
  • NPI 1548567498
  Medicare reassignment Care Compare group NPD
• Skyline Urology

  • Specialist
  • Torrance, CA
  • NPI 1730136573
  NPD
• Urology Institute of the South Bay

  • Urology Physician
  • Torrance, CA
  • NPI 1801804760
  NPD
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• Los Alamitos Medical Center, Inc.

  dba Los Alamitos Medical Center

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
  • NPI 1497780084
  NPD (past)
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• William W Loebman, M.D., Inc

  • Specialist
  • Glendale, CA
  • NPI 1003035643
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pasadena Hospital Association, LTD

  dba Huntington Hospital

  • General Acute Care Hospital
  • Pasadena, CA
  • NPI 1407828429
  Care Compare affiliation

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1548439458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845996",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845996",
            "telephone_number": "858-888-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 410",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053175",
            "telephone_number": "626-793-7114",
            "fax_number": "626-793-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3833 Worsham Avenue",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081766",
            "country_code": "US",
            "telephone_number": "562-559-5542",
            "fax_number": "562-426-2862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "MATTHEW",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A102444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A1024440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Muhonen, M.S,
• Robert Kamau Muiru
• Katelyn Mukai, PHD
• Rachel Mukai
• Prabhat Mukerjee, M.D.
• Anna Laura Mulato
• George Arnold Mulder, MD
• Madeline R Mulder
• Susan Mull, PHD
• Andrew Muller, MD

• Gastroenterology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.

Verify at the official NPI Registry.