AVIK MUKHERJEE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1629607130

AVIK MUKHERJEE (DPM) is a healthcare provider. based in Chicago, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00373400 (NJ). The NPI Number for AVIK MUKHERJEE (DPM) is 1629607130

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
AVIK MUKHERJEE (DPM)
NPI
1629607130
Phone
Not provided
Address
4646 N MARINE DR
Enumeration Date
6 April 2020
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
9032573761
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20230914001143
Address ID
NJ077530000NE3600X66XX349
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for AVIK MUKHERJEE (DPM)

  • 4646 N MARINE DR

    CHICAGO, IL 606405759

    Phone:

    Type: Mailing

  • 2 Hospital Plz Ste 310

    Old Bridge, NJ 088573153

    Phone: (732) 349-8454

    Fax: (732) 341-0259

    Type: Location

  • 186 County Road 520 # 1

    Morganville, NJ 077511246

    Phone: (732) 349-8454

    Fax: (732) 341-0259

    Type: Location

  • 530 LAKEHURST RD STE 101

    TOMS RIVER, NJ 087558063

    Phone: (732) 349-8454

    Fax: (732) 341-0259

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $5,690.

Total Amount is formed as General ($5,690) + Research ($0) + Ownership ($0) = $5,690.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Paragon 28, Inc. ($2,371).

Total Amount

$5,690

General + Research + Ownership

Payments

42

Total payment records

General Amount

$5,690

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230914001143IPodiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
Nurse PractitionerNJ
Physician AssistantNJ
Vascular SurgeryNY
Physician AssistantNJ
Physician AssistantNY
Orthopedic SurgeryNJ
General SurgeryNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for AVIK MUKHERJEE (DPM)?
AVIK MUKHERJEE (DPM) — NPI 1629607130 — is the standard way to identify this listing.
Is AVIK MUKHERJEE (DPM) listed as active for patients and plans?
The listing shows AVIK MUKHERJEE (DPM) as active in the NPI system.
What taxonomy line describes AVIK MUKHERJEE (DPM)?
For research purposes, treat AVIK MUKHERJEE (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for AVIK MUKHERJEE (DPM)?
AVIK MUKHERJEE (DPM)'s geographic hint is Chicago, Illinois in our summary view.
Why does AVIK MUKHERJEE (DPM) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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