NPIMap

Individual provider Active NPI

Supratim Banerjee, M.D.

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1942279401
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A54064 Issued in CA
Practice address
5945 Truxtun Ave
Bakersfield, CA 93309-0610
Phone
(661) 631-5544
Fax
(661) 631-5546
NPI assigned
Mar 16, 2006
Last updated
May 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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 A54064 CA Primary
Nuclear Radiology Physician 2085N0904X A54064 CA

Addresses

Primary practice location

5945 Truxtun Ave
Bakersfield, CA 93309-0610

Mailing address

5945 Truxtun Ave
Bakersfield, CA 93309-0610
Phone (661) 631-5544

Other identifiers 3

IdentifierTypeStateIssuer
00A540640OtherBLUE SHIELD
00A540640MedicaidCA
060069477OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100706000219 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 9335045046 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Cardiovascular Medical Group, Inc.Group PAC ID 9830130822, 8 clinicians

Practice addresses (Care Compare)

20041 W Valley Blvd
Suite 3
Tehachapi, CA 93561-6746
Phone (661) 823-8604

432 Lexington St
Suite B
Delano, CA 93215-3696
Phone (661) 725-7818

5945 Truxton Extension
Bakersfield, CA 93309-0610
Phone (661) 631-5544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.13 of 100Reported as individual
Quality
77.79
Improvement activities
40
Cost
83.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Varicose vein removal12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54064CAMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Jun 1, 2025 Accepting new patients
Modern Nuclear, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Adventist Health Delano CurrentSince Jun 1, 2025 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2016 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2016 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2025 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Cardiovascular Medical Group, Inc. Cardiovascular Disease CurrentSince Aug 25, 1998 Accepting new patients
Adventist Health Delano Current Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2025 Accepting new patients
Norton Enterprises, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

5945 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 323-4278

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

432 Lexington St
Ste B
Delano, CA 93215
Phone (661) 721-2090

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

20041 W Valley Blvd
Ste 4
Tehachapi, CA 93561
Phone (661) 822-0377

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1942279401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090610",
            "telephone_number": "661-631-5544",
            "fax_number": "661-631-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090610",
            "telephone_number": "661-631-5544",
            "fax_number": "661-631-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "SUPRATIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A54064",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A54064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A540640",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A540640",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060069477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.