Active NPI
Amar Nath Mukerji, MD, MS
- Colon & Rectal Surgery Physician
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 036.145493
- Practice address
- 3331 W Deyoung St Ste 305
Marion, IL 62959 - Phone
- (618) 998-7155
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036.145493 | IL | |
| Colon & Rectal Surgery Physician | 208C00000X | 036.145493 | IL | Primary |
Addresses
Primary practice location
3331 W Deyoung St Ste 305
Marion, IL 62959
Mailing address
3331 W Deyoung St Ste 305
Marion, IL 62959-5898
Phone (618) 998-7155
Other practice location 1
1650 Selwyn Ave
Room 4A
Bronx, NY 10457-7626
Phone (718) 960-1216
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3331 W Deyoung St
Marion, IL 62959-5896
Phone (618) 998-7600
Hospital & facility affiliations
- Heartland Regional Medical Center
- Deaconess Illinois Crossroads
- Salem Township Hospital
- Deaconess Illinois Union County
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 69.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 80 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.145493 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Surgery | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Surgery | Current | Accepting new patients |
| Heartland Rural Healthcare, LLC | Past | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients | |
| Deaconess Illinois Clinic, Inc | Past | Accepting new patients |
Locations
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
3333 W Deyoung St
Ste 205
Marion, IL 62959
Phone (618) 998-1161
3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140
3331 W Deyoung St
Ste 305
Marion, IL 62959
Phone (618) 998-7089
209 Crossroads Pl
Mount Vernon, IL 62864
Phone (618) 242-4554
4113 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 241-9071
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Interoperability endpoints
- amukerji@yourcarecommunity.org
- amukerji416650@direct.deaconess.com
- amar.mukerji.1@27782.direct.athenahealth.com
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.
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
dba Deaconess IL Specialty Spring St Multispecialty
- Family Medicine Physician
- Red Bud, IL
- NPI 1922715408
Surgery
-
dba Deaconess Illinois Clinic
- Family Medicine Physician
- Mount Vernon, IL
- NPI 1245956523
-
- Family Medicine Physician
- Marion, IL
- NPI 1316009582
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crossroads Community Hospital
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
-
dba Deaconess Illinois Union County
- Critical Access Hospital
- Anna, IL
- NPI 1710604483
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Critical Access Hospital
- Salem, IL
- NPI 1295739548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1750624045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 W DEYOUNG ST STE 305",
"city": "MARION",
"state": "IL",
"postal_code": "629595898",
"telephone_number": "618-998-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 W DEYOUNG ST STE 305",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "618-998-7155"
}
],
"practiceLocations": [
{
"address_1": "1650 Selwyn Ave",
"address_2": "Room 4A",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104577626",
"country_code": "US",
"telephone_number": "718-960-1216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKERJI",
"first_name": "AMAR",
"middle_name": "NATH",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.145493",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IL",
"license": "036.145493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.