NPIMap

Individual provider Active NPI

Koushik Mukherjee, MD

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1679563563
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD071251L Issued in PA
Practice address
100 N Bellefield Ave Ste 4T
Pittsburgh, PA 15213-2600
Phone
(412) 246-5401
Fax
(412) 246-5410
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD071251L PA Primary

Addresses

Primary practice location

100 N Bellefield Ave Ste 4T
Pittsburgh, PA 15213-2600

Mailing address

1010 Meridian Dr
Presto, PA 15142-1028
Phone (412) 279-2679

Other practice location 1

330 S 9th St
Pittsburgh, PA 15203-1266
Phone (412) 488-4040

Other identifiers 2

IdentifierTypeStateIssuer
763374OtherPAHIGHMARK
0018044920005MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address koushik.mukherjee@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001346 PA Practitioner - Psychiatry 4880682467 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

155 Wilson Ave
Washington, PA 15301-3336

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

3811 Ohara St
Pittsburgh, PA 15213-2561
Phone (412) 624-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Life Center Corp CurrentSince Oct 23, 2002 Accepting new patients
University of Pittsburgh Physicians Psychiatry CurrentSince Aug 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2018 Accepting new patients
Cranberry Psychological Center, Inc. Psychiatry CurrentSince Oct 8, 2002 Accepting new patients
Mercy Life Center Corporation Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 6, 2014 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Washington Physician Services CurrentSince Aug 1, 2020 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 6, 2014 Accepting new patients
Family Psychological Associates,LTD. Past Accepting new patients

Locations

1300 Oxford Dr
Ste 1A
Bethel Park, PA 15102
Phone (412) 687-5040

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

330 S 9th St
Pittsburgh, PA 15203
Phone (877) 637-2924

1910 Cochran Rd
Ste 345
Pittsburgh, PA 15220
Phone (412) 343-2924

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

11279 Perry Hwy
Ste 450
Wexford, PA 15090

11279 Perry Hwy
Wexford, PA 15090
Phone (724) 933-1000

Interoperability endpoints

  • Direct secure messaging: koushik.mukherjee@upmcdirect.com

Organizations & group practices 12

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 7

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1679563563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MERIDIAN DR",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421028",
            "telephone_number": "412-279-2679",
            "fax_number": "412-488-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BELLEFIELD AVE STE 4T",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132600",
            "telephone_number": "412-246-5401",
            "fax_number": "412-246-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152031266",
            "country_code": "US",
            "telephone_number": "412-488-4040",
            "fax_number": "412-488-4932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "KOUSHIK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD071251L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "763374",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018044920005",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koushik.mukherjee@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "Secure UPMC Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 N Bellefield Ave Ste 4T",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152132600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.