Supratim Banerjee (NPI# 1942279401, PAC ID# 9335045046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1942279401 |
| PAC ID by PECOS | 9335045046 |
| Professional Enrollment ID | I20100706000219 |
| Full Name | Supratim Banerjee |
| Organization Legal Name | COMPREHENSIVE CARDIOVASCULAR MEDICAL GROUP, INC. |
| Address |
432 Lexington St Suite B Delano CA 93215-3696 |
| Phone Number | 6617257818 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE, NUCLEAR MEDICINE |
| Group Practice PAC ID | 9830130822 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050036 | BAKERSFIELD MEMORIAL HOSPITAL |
| 050295 | MERCY HOSPITAL |
| 050455 | ADVENTIST HEALTH BAKERSFIELD |
| 050608 | DELANO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5945 Truxton Extension, Bakersfield, CA 93309-0610 | 6616315544 | COMPREHENSIVE CARDIOVASCULAR MEDICAL GROUP, INC. |
| 9330 Stockdale Hwy, Suite 500, Bakersfield, CA 93311-3616 | 6616172179 | COMPREHENSIVE CARDIOVASCULAR MEDICAL GROUP, INC. |
| 432 Lexington St, Suite B, Delano, CA 93215-3696 | 6617257818 | COMPREHENSIVE CARDIOVASCULAR MEDICAL GROUP, INC. |
| 20041 W Valley Blvd, Suite 3, Tehachapi, CA 93561-6746 | 6618238604 | COMPREHENSIVE CARDIOVASCULAR MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 81% | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | COMPREHENSIVE CARDIOVASCULAR MEDICAL GROUP, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emad S Najjar | Cardiovascular Disease (cardiology) | Comprehensive Cardiovascular Medical Group, Inc. | 5945 Truxton Extension, Bakersfield, CA 93309-0610 |
| Nasser Ud-din Khan | Cardiovascular Disease (cardiology) | Comprehensive Cardiovascular Medical Group, Inc. | 5945 Truxton Extension, Bakersfield, CA 93309-0610 |
| Md Moksedul Habib | Cardiac Electrophysiology | Comprehensive Cardiovascular Medical Group, Inc. | 432 Lexington St, Suite B, Delano, CA 93215-3696 |
| Rebecca L Sutton | Nurse Practitioner | Comprehensive Cardiovascular Medical Group, Inc. | 5945 Truxton Extension, Bakersfield, CA 93309-0610 |
| Street Address |
432 LEXINGTON ST SUITE B |
| City | DELANO |
| State | CA |
| Zip | 93215-3696 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahram Ehteshami | Neurosurgery | 432 Lexington St, Suite C, Delano, CA 93215-3696 | |
| Md Moksedul Habib | Cardiac Electrophysiology | Comprehensive Cardiovascular Medical Group, Inc. | 432 Lexington St, Suite B, Delano, CA 93215-3696 |
| Boota S Chahil | Neurology | 432 Lexington St, Delano, CA 93215-3697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ming Morris | Nurse Practitioner | Kern Nephrology Medical Group | 1980 Cecil Ave, Delano, CA 93215-1513 |
| Don Victor A Zapanta | Family Medicine | 1619 Cecil Ave, Suite B, Delano, CA 93215-1515 | |
| Mitchell L Wright | Physical Therapy | Terrio Therapy-fitness Inc | 1430 High St, Delano, CA 93215-1715 |
| Alisa Suburu | Physical Therapy | Terrio Therapy-fitness Inc | 1430 High St, Delano, CA 93215-1715 |
| Andris Lorenzo Veiss | Physical Therapy | Terrio Therapy-fitness Inc | 1430 High St, Delano, CA 93215-1715 |
| Larry M Dedonato | Optometry | 1429 Main St, Delano, CA 93215-1726 | |
| Mark J Park | Optometry | 919 13th Ave, Delano, CA 93215-2202 | |
| Doreen Y Tadokoro | Obstetrics/gynecology | Omni Family Health | 1215 Jefferson St, Delano, CA 93215-2203 |
| Juan M Cabrera | Internal Medicine | Omni Family Health | 1215 Jefferson St, Delano, CA 93215-2203 |
| Anuj Bansal | Internal Medicine | Radhey S. Bansal, Md. Inc | 1230 Jefferson St, Delano, CA 93215-2204 |
| Find all physicians in zip 93215 | |||
| City | DELANO |
| Zip Code | 93215 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | DELANO + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Supratim Banerjee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.