NPIMap

Individual provider Active NPI

Siddharth S Mukerji, MD

  • Clinical Cardiac Electrophysiology Physician
  • Houston, TX
National Provider Identifier
1720100027
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
Q0983 Issued in TX
Practice address
925 Gessner Rd Ste 540
Houston, TX 77024-2552
Phone
(713) 486-2400
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Q0983 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X Q0983 TX Primary

Addresses

Primary practice location

925 Gessner Rd Ste 540
Houston, TX 77024-2552

Mailing address

17350 St Lukes Way
Suite #320
The Woodlands, TX 77384-4100
Phone (713) 486-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141017002184 TX Practitioner - Cardiac Electrophysiology 5193946028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

10450 Spring Green Blvd
Suite B
Katy, TX 77494-5909
Phone (713) 486-5870

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0983TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 28, 2014 Accepting new patients
C H Wilkinson Physician Network CurrentSince Sep 5, 2017 Accepting new patients
Ut Physicians CurrentSince Jul 28, 2014 Accepting new patients
C H Wilkinson Physician Network CurrentSince Sep 5, 2017 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

925 Gessner Rd
Ste 540
Houston, TX 77024
Phone (713) 486-2400

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

10450 Spring Green Blvd
Ste B
Katy, TX 77494
Phone (281) 606-0905

23920 Katy Fwy
Ste 380
Katy, TX 77494
Phone (713) 830-9100

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17520 W Grand Pkwy S
Ste 280
Sugar Land, TX 77479

17350 St Lukes Way
Ste 320
The Woodlands, TX 77384
Phone (713) 486-1550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: smukerji49751@memorialhermann.direct-ci.com
  • Direct secure messaging: smukerji14520@direct.uth.org

Organizations & group practices 6

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 12

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1720100027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY",
            "address_2": "SUITE #320",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844100",
            "telephone_number": "713-486-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 GESSNER RD STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242552",
            "telephone_number": "713-486-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKERJI",
        "first_name": "SIDDHARTH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q0983",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "Q0983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.