DR. SUMIT MUKHERJEE M.D.
NPI 1154647568
Internal Medicine - Pulmonary Disease in Council Bluffs, IA

Q: What is Sumit Mukherjee's NPI number?

The NPI number for Sumit Mukherjee is 1154647568. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Q: What is Sumit Mukherjee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Mukherjee was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment

1 EDMUNDSON PL, STE. 306, COUNCIL BLUFFS, IA 51503(712) 396-7787(712) 396-4115 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2016, Feb 23, 2016 (2 updates tracked since 2016).

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About Dr. Sumit Mukherjee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUMIT MUKHERJEE M.D. (NPI 1154647568) is an individual pulmonary disease provider in Council Bluffs, Iowa, licensed in Iowa (MD-41368) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of University Of Nebraska College Of Medicine (2010).

NPPES Registry Identity

NPI1154647568

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. SUMIT MUKHERJEECredential: M.D.

Location Address1 EDMUNDSON PL, STE. 306Council Bluffs, IA 51503-4658

Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155

Phone(712) 396-7787

Fax(712) 396-4115

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2010

Enumeration DateApril 9, 2010

Last NPPES UpdateAugust 19, 20162 updates tracked since enumeration

✔ NPI 1154647568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in IA · MD-41368✔ Licensed in MO · 2012014712

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 EDMUNDSON PL, Council Bluffs, IA 51503

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Other Identifiers 3

Medicaid1154647568IA

Medicare PIN058970062IA

Medicaid10026209700NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sumit Mukherjee M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193038016

PECOS Enrollment IDI20160624002117, I20250305001638

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

349 services144 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

316 services213 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

273 services89 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

247 services110 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

181 services111 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

115 services103 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

113 services106 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

105 services102 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

97 services95 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

78 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

74 services74 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

68 services66 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

60 services60 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

55 services55 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

54 services52 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

50 services50 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

49 services49 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

48 services48 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

47 services47 patients

Test to examine how well the lungs exchange gases 94729

47 services46 patients

Exam of lung airways using an endoscope 31623

This procedure, known as a bronchoscopy, involves a doctor examining your lung airways with a thin tube called an endoscope. It helps detect any issues in your lungs or airways, such as infections or blockages. It's a safe, routine procedure.

43 services42 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

42 services39 patients

Test to measure expiratory airflow and volume 94010

37 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services27 patients

Test to determine lung volumes using sensors 94726

30 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Test for exercise-induced lung stress 94618

21 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160047

Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County

Emergency services Birthing friendly

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161363

Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County

Emergency services

Myrtue Medical Center

Critical Access Hospitals · Harlan, IA

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161374

Location1213 Garfield AvenueHarlan, IA 51537 · Shelby County

Emergency services Birthing friendly

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161376

Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County

Emergency services Birthing friendly

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280040

Location8303 Dodge StOmaha, NE 68114 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers12 claims12 services$36.10 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

5 suppliers11 claims11 services$13.34 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers41 claims41 services$79.83 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

10 suppliers53 claims111 services$31.65 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers17 claims17 services$56.29 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers38 claims38 services$18.42 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers44 claims44 services$15.73 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers58 claims261 services$2.08 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers25 claims25 services$10.41 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers147 claims153 services$16.16 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers15 claims15 services$862.26 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

1 supplier23 claims23 services$778.82 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers26 claims33 services$9.91 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers49 claims52 services$4.96 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers53 claims54 services$29.82 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

12 suppliers376 claims378 services$78.33 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers110 claims110 services$31.69 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers27 claims1,620 services$6.93 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers28 claims4,008 services$0.03 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

2 suppliers12 claims2,248 services$0.05 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers26 claims2,520 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers57 claims3,512 services$0.77 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims68,250 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

15 suppliers93 claims93 services$23.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANAND DESHMUKH MD

Internal Medicine (Cardiovascular Disease)

1 EDMUNDSON PL, STE. #306
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 396-7787

JENNIFER D STONE M.D.

Family Medicine

1 EDMUNDSON PL, SUITE 310
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 396-4280

TAKASHI KAWAMITSU MD

Family Medicine

1 EDMUNDSON PL
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 396-4340

DR. KEVIN CROWLEY M.D.

Internal Medicine

1 EDMUNDSON PL, SUITE 310
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 396-4300

JESSICA MCCOOL M.D.

Family Medicine

1 EDMUNDSON PL
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 396-4340

PULMONARY INFECTIOUS DISEASE ASSOCIATES PC

Internal Medicine (Pulmonary Disease)

1 EDMUNDSON PL, SUITE 312
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 396-4295

DR. JOHN G SOUTHARD MD

Internal Medicine (Pulmonary Disease)

1 EDMUNDSON PL, SUITE 312
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 396-4295

DR. CLIFFORD KENT BOESE M.D.

Orthopaedic Surgery

1 EDMUNDSON PL, STE 500
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 323-5333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumit Mukherjee's NPI number?

The NPI number for Sumit Mukherjee is 1154647568. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Sumit Mukherjee located?

Sumit Mukherjee practices at 1 Edmundson Pl Ste. 306, Council Bluffs, IA 51503. The listed phone number is (712) 396-7787.

What is Sumit Mukherjee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sumit Mukherjee enrolled in Medicare?

Yes. Sumit Mukherjee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sumit Mukherjee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Sumit Mukherjee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sumit Mukherjee affiliated with any hospitals?

According to CMS data, Sumit Mukherjee is affiliated with Methodist Jennie Edmundson, Montgomery County Memorial Hospital, Myrtue Medical Center, Cass County Memorial Hospital and The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Sumit Mukherjee was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.