Individual provider Active NPI

Barenya Mukerji, M.D.

  • Obstetrics & Gynecology Physician
  • Carbondale, IL
National Provider Identifier
1730594615
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036146565 Issued in IL
Practice address
305 W Jackson St Ste 402
Carbondale, IL 62901-1474
Phone
(618) 998-8808
Fax
(618) 998-8809
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036146565 IL Primary

Addresses

Primary practice location

305 W Jackson St Ste 402
Carbondale, IL 62901-1474

Mailing address

500 Rushing Dr
Herrin, IL 62948-3748
Phone (618) 998-8808

Other practice location 1

500 Rushing Dr
Herrin, IL 62948-3748
Phone (618) 998-8808

Other names 1

  • Barenya Chattopadhyay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181008001879 IL Practitioner - Obstetrics/Gynecology 9436401122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Southern Illinois OB-GYN Associates SCGroup PAC ID 2961478185, 8 clinicians

Practice addresses (Care Compare)

500 Rushing Dr
Herrin, IL 62948-3748
Phone (618) 998-8808

Hospital & facility affiliations

  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036146565ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp Obstetrics & Gynecology Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Jan 19, 2022 Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Jan 19, 2022 Accepting new patients
Southern Illinois OB-GYN Associates, S.C. Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients

Locations

305 W Jackson St
Ste 402
Carbondale, IL 62901
Phone (618) 529-4711

101 S Wall St
Carbondale, IL 62901
Phone (618) 529-0991

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

500 Rushing Dr
Herrin, IL 62948
Phone (618) 998-8808

Interoperability endpoints

  • Direct secure messaging: barenya.mukerji.1@14668.direct.athenahealth.com
  • Direct secure messaging: bmukerji@yourcarecommunity.org

Organizations & group practices 4

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 1

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1730594615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483748",
            "telephone_number": "618-998-8808",
            "fax_number": "618-998-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST STE 402",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-998-8808",
            "fax_number": "618-998-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Rushing Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483748",
            "country_code": "US",
            "telephone_number": "618-998-8808",
            "fax_number": "618-998-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKERJI",
        "first_name": "BARENYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036146565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARENYA",
            "last_name": "CHATTOPADHYAY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.