Individual provider Active NPI

Uday Kumar Mukherjee, MD

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1659457075
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A081816 Issued in CA
Practice address
3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078
Phone
(925) 944-9711
Fax
(925) 944-9709
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X A081816 CA
Psychiatry Physician 2084P0800X A081816 CA Primary

Addresses

Primary practice location

3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078

Mailing address

3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078
Phone (925) 944-9711

Other practice location 1

1501 Claus Rd
Modesto, CA 95355-9711
Phone (209) 558-4700

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
I20041014000632 CA Practitioner - Psychiatry 5496668436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians

Practice addresses (Care Compare)

3100 Oak Rd
Suite 270
Walnut Creek, CA 94597-2078
Phone (925) 944-9711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81816CAMDPharmacist
A081816CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Apr 28, 2018 Accepting new patients
Hiawatha Harris, M.D., Inc. CurrentSince Nov 2, 2014 Accepting new patients
Hiawatha Harris, Corporation CurrentSince Nov 2, 2014 Accepting new patients
Kurra Associates PA Psychiatry PastSince Sep 1, 2016 Accepting new patients

Locations

1700 Broadway
#500
Oakland, CA 94612
Phone (510) 273-4200

5674 Stoneridge Dr
Ste 205
Pleasanton, CA 94588
Phone (925) 520-0006

5674 Stoneridge Dr
Ste 207
Pleasanton, CA 94588

5924 Stoneridge Dr
Ste 210
Pleasanton, CA 94588
Phone (925) 223-6157

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1659457075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK RD STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972078",
            "telephone_number": "925-944-9711",
            "fax_number": "925-944-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK RD STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972078",
            "telephone_number": "925-944-9711",
            "fax_number": "925-944-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Claus Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953559711",
            "country_code": "US",
            "telephone_number": "209-558-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "UDAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A081816",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A081816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.