Individual provider Active NPI

Indrani Mukherjee, MBCHB

  • Hospitalist Physician
  • Jacksonville, FL
National Provider Identifier
1609078385
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME121490 Issued in FL
Practice address
425 North Lee Street
Suite 203
Jacksonville, FL 32204-1128
Phone
(904) 354-8200
Fax
(904) 354-1340
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME121490 FL Primary
Pulmonary Disease Physician 207RP1001X 50082 MN

Addresses

Primary practice location

425 North Lee Street
Suite 203
Jacksonville, FL 32204-1128

Mailing address

4205 Belfort Road
Suite 4020
Jacksonville, FL 32216-1475
Phone (904) 450-6444

Other identifiers 2

IdentifierTypeStateIssuer
P00405215OtherMNMEDICARE RAILROAD
505467000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141220000090 FL Practitioner - Internal Medicine 8921107194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vip Specialties of FloridaGroup PAC ID 7810355708, 27 clinicians
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

13715 Richmond Park Dr N
Unit 401
Jacksonville, FL 32224-5277
Phone (410) 258-6500

425 N Lee St
Suite 203
Jacksonville, FL 32204-1128
Phone (904) 354-8200

Hospital & facility affiliations

  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Oct 25, 2014 Accepting new patients
First Coast Surgical Associates Inc Pulmonary Disease CurrentSince Jan 2, 2026 Accepting new patients
St Vincents Ambulatory Care Inc Pulmonary Disease CurrentSince Oct 25, 2014 Accepting new patients
Vip Specialties of Florida Pulmonary Disease CurrentSince Jan 6, 2026 Accepting new patients
Pulmonary and Critical Care Associates of Baltimore, P.a. Pulmonary Disease Past Accepting new patients

Locations

425 N Lee St
Ste 203
Jacksonville, FL 32204
Phone (904) 354-8200

4205 Belfort Rd
Ste 4020
Jacksonville, FL 32216
Phone (904) 450-6020

4203 Belfort Rd
Ste 108
Jacksonville, FL 32216
Phone (904) 450-6460

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

6206 Atlantic Blvd
Ste 1
Jacksonville, FL 32211
Phone (904) 731-3131

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/PlW-EjC8LXq2pLtfi8pP4Fb9PQcNWAMu/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFEDCD

Organizations & group practices 5

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 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1609078385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT ROAD",
            "address_2": "SUITE 4020",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161475",
            "telephone_number": "904-450-6444",
            "fax_number": "904-296-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NORTH LEE STREET",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041128",
            "telephone_number": "904-354-8200",
            "fax_number": "904-354-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "INDRANI",
        "credential": "MBCHB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME121490",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "50082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00405215",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505467000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.