SHUBHRA MUKHERJEE (MD) – Pediatric Rehabilitation Medicine Physician, NPI 1790770659
Pediatric Rehabilitation Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
596 PHYSICAL MEDICINE AND REHABILITATION in IL
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Provider Addresses for SHUBHRA MUKHERJEE (MD)
Philadelphia Post Office, Church Avenue, Philadelphia, Neshoba County, Mississippi, 39350, United States
PHILADELPHIA, PA 191788500
Phone: (773) 385-5463
Fax: (773) 385-5488
Type: Mailing
Shriners Hospitals for Children, 2211, North Oak Park Avenue, Beat 2512, Montclare, Chicago, Jefferson Township, Cook County, Illinois, 60707, United States
CHICAGO, IL 607073392
Phone: (773) 385-5463
Fax: (773) 385-5488
Type: Location
355 E Erie St
Chicago, IL 606113167
Phone: (312) 238-1000
Type: Location
4400 W 95th St Ste 306
Oak Lawn, IL 604532659
Phone: (708) 684-5428
Fax: (708) 684-2079
Type: Location
1801 W Taylor St
Chicago, IL 606124795
Phone: (312) 996-7416
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $214.
Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ABBVIE INC. ($125).
Total Amount
$214
General + Research + Ownership
Payments
2
Total payment records
General Amount
$214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $125 |
| NOBELPHARMA AMERICA, LLC | $89 |
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: 2004-04-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040421000752 | I | Physical Medicine And Rehabilitation | IL | TBD |
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.
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 19178)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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