Physician Compare National (NPI:1003966870)

HEALTHCARE PROVIDER: DWARKA G NATH M D

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

Individual Professional Information
NPI	1003966870
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375703291
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120329000472
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NATH
	Individual professional last name
Provider First Name	DWARKA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	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	FLORIDA GASTROENTEROLOGY ASSOCIATES PA
	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	2769567064
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	37908 DAUGHTERY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	ZEPHYRHILLS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	335411316
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8137808620
	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	100046
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLORIDA HOSPITAL ZEPHYRHILLS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	480002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GOV JUAN F LUIS HOSPITAL & MEDICAL CTR
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y