Physician Compare National (NPI:1003047564)

HEALTHCARE PROVIDER: VIDHYA MURUKESAN M.B.,B.S

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003047564
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507015542
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121005000511
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MURUKESAN
	Individual professional last name
Provider First Name	VIDHYA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CLERMONT INTERNISTS ASSOCIATES INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6901885847
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2055 HOSPITAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	BATAVIA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	451031978
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5137320663
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360234
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HEALTH - WEST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360236
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL CLERMONT
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y