Individual provider Active NPI

Pushpal Rocky Banerjee, DO

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1669428371
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
81748 Issued in GA
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

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
260018800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 MedicinePractitioner - General Practice 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, LLCGroup PAC ID 2264663756, 41 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Inphynet Contracting Services LLCGroup PAC ID 7416865811, 169 clinicians

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 Hospital, Sanford, FL, CCN 100161
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Improvement activities
40
Cost
79.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81748GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine Current Accepting new patients
Vital Primary Care Clinic LLC General Practice CurrentSince Aug 3, 2025 Accepting new patients
Melbourne Emergency Group, LLC Emergency Medicine CurrentSince Jun 3, 2016 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Dec 29, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jul 31, 2019 Accepting new patients
Peach State Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Vital Urgent Care LLC General Practice CurrentSince Nov 9, 2024 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 5, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine Current Accepting new patients
Rockledge Emergency Group LLC Emergency Medicine CurrentSince Jun 10, 2016 Accepting new patients
Express Care Clinic LLC CurrentSince Aug 13, 2014 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 21

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": "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

Verify at the official NPI Registry.