Active NPI
Pushpal Rocky Banerjee, DO
- Emergency Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 81748
- Practice address
- 13021 W Linebaugh Ave Ste 102
Tampa, FL 33626-4509 - Phone
- (813) 709-8567
- Fax
- (215) 642-8552
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS8141 | FL | |
| General Practice Physician | 208D00000X | OS8141 | FL | |
| Emergency Medicine Physician | 207P00000X | 81748 | GA | Primary |
Addresses
Primary practice location
13021 W Linebaugh Ave Ste 102
Tampa, FL 33626-4509
Mailing address
14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672
Other practice location 1
1301 N 14th St
Leesburg, FL 34748-3408
Phone (352) 323-0084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260018800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000693 | FL | Practitioner - Emergency Medicine | 4284688771 | Reassigns benefits to 10 organizations |
| I20190104001844 | GA | Practitioner - Emergency Medicine | 4284688771 | Reassigns benefits to 4 organizations |
| I20250113002899 | PA | Practitioner - Emergency Medicine | 4284688771 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston County Emergency Group, LLCParagon Emergency Services LLCInphynet Contracting Services LLC
Practice addresses (Care Compare)
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281
2650 W State Rd
Suite 434
Longwood, FL 32779-4815
Phone (352) 475-3366
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762
951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111
Hospital & facility affiliations
- Central Florida Lake Monroe Hospital
- HCA Florida Osceola Hospital
- Doctors Hospital
- Shands Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.67 of 100
- Improvement activities
- 40
- Cost
- 79.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81748 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Vital Primary Care Clinic LLC | General Practice | Current | Accepting new patients |
| Melbourne Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Peach State Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Vital Urgent Care LLC | General Practice | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Rockledge Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Express Care Clinic LLC | Current | Accepting new patients | |
| Emergency Medicine of Florida, Inc. | Past | Accepting new patients | |
| Gulfstream Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Wuesthoff Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 42)
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
2650 W State Road 434
Longwood, FL 32779
Phone (352) 475-3366
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- vitalurgentcare@org206.direct.charmhealth.com
Organizations & group practices 21
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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
Emergency Medicine, FL
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Melbourne, FL
- NPI 1932562915
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Rockledge, FL
- NPI 1306200522
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
Emergency Medicine, FL
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
Hospital
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1669428371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14050 NW 14TH ST",
"address_2": "SUITE 190",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232865",
"telephone_number": "800-424-3672",
"fax_number": "954-377-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13021 W LINEBAUGH AVE STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264509",
"telephone_number": "813-709-8567",
"fax_number": "215-642-8552"
}
],
"practiceLocations": [
{
"address_1": "1301 N 14th St",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347483408",
"country_code": "US",
"telephone_number": "352-323-0084",
"fax_number": "352-323-0828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANERJEE",
"first_name": "PUSHPAL",
"middle_name": "ROCKY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS8141",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS8141",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "81748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260018800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.