Active NPI
Stacy Swati Banerjee, M.D.
- Internal Medicine Physician
- Maple Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35126030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132113 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35126030 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Archwell Health Professional Services of Ohio, Inc. | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Dedicated Ohio Holding LLC | Current | Accepting new patients | |
| Vpa PC | Internal Medicine | Current | 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
- sbanerjee237055@direct.metrohealth.org
- 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.
-
- Internal Medicine Physician
- Parma, OH
- NPI 1366248965
Internal Medicine, OH
-
- Non-Pharmacy Dispensing Site
- Cleveland, OH
- NPI 1295368397
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Skilled Nursing Facility
- North Royalton, OH
- NPI 1619495918
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.