Individual provider Active NPI

Stacy Swati Banerjee, M.D.

  • Internal Medicine Physician
  • Maple Heights, OH
National Provider Identifier
1871709964
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35126030 Issued in OH
Practice address
21800 Libby Rd
Maple Heights, OH 44137-2947
Phone
(216) 547-0001
Fax
(888) 355-6711
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 35126030 OH Primary

Addresses

Primary practice location

21800 Libby Rd
Maple Heights, OH 44137-2947

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

13719 Lorain Ave
Cleveland, OH 44111-3439
Phone (216) 307-3005

Other practice location 2

16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300
Phone (440) 826-0500

Other identifiers 1

IdentifierTypeStateIssuer
0132113MedicaidOH

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
I20150608001347 OH Practitioner - Internal Medicine 5890821516 Reassigns benefits to 2 organizations
Practice locations: Sylvania, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35126030OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Archwell Health Professional Services of Ohio, Inc. Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Vpa PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Dedicated Ohio Holding LLC CurrentSince Nov 1, 2022 Accepting new patients
Vpa PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Mount Royal Villa LLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

13719 Lorain Ave
Cleveland, OH 44111
Phone (216) 307-3005

21800 Libby Rd
Maple Heights, OH 44137
Phone (216) 547-0001

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130
Phone (440) 826-0500

27175 Center Ridge Rd
Westlake, OH 44145
Phone (440) 768-2622

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: sbanerjee237055@direct.metrohealth.org
  • Direct secure messaging: stacy.banerjee.1@30652.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1871709964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 LIBBY RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372947",
            "telephone_number": "216-547-0001",
            "fax_number": "888-355-6711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13719 Lorain Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441113439",
            "country_code": "US",
            "telephone_number": "216-307-3005",
            "fax_number": "216-710-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 W Sprague Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441306300",
            "country_code": "US",
            "telephone_number": "440-826-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "STACY",
        "middle_name": "SWATI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35126030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

Verify at the official NPI Registry.