Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moni Banerjee, PA

Individual provider Medical Physician Assistant · NPI 1164551727

Moni Banerjee, PA is a Physician Assistant in Boulder, Colorado. Qualified in 2005, 21 years ago. Practices with Boulder Community Health, a 253-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
21
Licensed in
CO
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1113
Phone: (303) 442-2395
Fax: (303) 442-1073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2169 (CO)

Record details

NPI number1164551727
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 2, 2007
Last updated in NPPESNovember 9, 2017
Mailing address5450 Western Ave, Suite B, Boulder, CO 80301-2709

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Boulder Community Health — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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