BASANTI MUKERJI (NPI# 1497725345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497725345 |
| Entity Type | Individual |
| Full Name | BASANTI MUKERJI |
| Credential | MD |
| Practice Address |
5850 S 6th Street Rd Springfield IL 62703-5162 |
| Practice Telephone | 2175295046 |
| Practice Fax Number | 2175296154 |
| Mailing Telephone | 2175295046 |
| Mailing Fax Number | 2175296154 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036060643 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME76732 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036060643 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CLIA CFP | 14D0435365 | 01 |
| IL | CATERPILLAR | 6394P | 01 |
| IL | BC OF IL | 08421024 | 01 |
| IL | RR MEDICARE GRP | CD7143 | 01 |
| IL | BLACK LUNG | 020057300 | 01 |
| IL | ACS-OWCP | 133586700 | 01 |
| IL | CLIA PGW | 14D0949277 | 01 |
| Street Address |
5850 S 6TH STREET RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235177973 | Danville Vamc | Clinic/Center | 5850 S 6th Street Rd, Frontage Road East - Suite A, Springfield, IL 62703-5162 | 2006-06-03 |
| 1255303830 | Kelly Larosa | Social Worker | 5850 S 6th Street Rd, A, Springfield, IL 62703-5162 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1548325723 | Mujeeb Ranginwala, Md | Internal Medicine | 2029 E High St, Springfield, OH 45505-1315 | 2006-12-27 |
| 1205840345 | Mujeeb A Ranginwala | Internal Medicine | 1929 E High St, Springfield, OH 45505-1227 | 2006-07-27 |
| 1972546786 | Stephen D Armstrong | Internal Medicine | 3555 S National, Springfield, MO 65807 | 2006-06-13 |
| 1609854769 | David Gregory True | Internal Medicine | 4350 S National Ave Ste C100, Springfield, MO 65810-2658 | 2006-01-08 |
| 1942297254 | Robert G Gray | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-03 |
| 1902448426 | 417 Rheumatology LLC | Internal Medicine | 4350 S National Ave Ste C100, Springfield, MO 65810-2658 | 2019-10-16 |
| 1407218571 | Anthony John Nicolas | Internal Medicine | Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-0001 | 2016-03-28 |
| 1518251370 | Dane H Dougherty | Internal Medicine | 1007 Harlow Rd, Springfield, OR 97477-7124 | 2011-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.