Individual provider Active NPI

Sunita Banerjee, MD

  • Internal Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1710993787
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.088090 Issued in OH
Practice address
1601 Brigham Dr Ste 200
Perrysburg, OH 43551-7117
Phone
(567) 585-0380
Fax
(567) 585-0381
NPI assigned
Jul 31, 2006
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.088090 OH Primary

Addresses

Primary practice location

1601 Brigham Dr Ste 200
Perrysburg, OH 43551-7117

Mailing address

1601 Brigham Dr Ste 200
Perrysburg, OH 43551-7117

Other identifiers 1

IdentifierTypeStateIssuer
2677134MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbanerjee21372@direct.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060830000000 OH Practitioner - Internal Medicine 9638153844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Promedica Multi Specialty Physicians CurrentSince Apr 1, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Health Physicians-North LLC Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 1, 2009 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

1601 Brigham Dr
Ste 200
Perrysburg, OH 43551
Phone (419) 872-7700

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2213 Franklin Ave
Toledo, OH 43620
Phone (419) 251-2053

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1710993787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BRIGHAM DR STE 200",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRIGHAM DR STE 200",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517117",
            "telephone_number": "567-585-0380",
            "fax_number": "567-585-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "SUNITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.088090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2677134",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbanerjee21372@direct.promedica.org",
            "affiliation": "N",
            "address_1": "1601 Brigham Dr Ste 200",
            "city": "Perrysburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435517117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.