Physician Compare National (NPI:1013002880)

HEALTHCARE PROVIDER: PADMAJA SAI 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	1013002880
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072572460
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041011000372
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAI
	Individual professional last name
Provider First Name	PADMAJA
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	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 CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
	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	2567356058
	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	269
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	61 MEMORIAL MEDICAL PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2818
	Group Practice or individual's line 2 address
City	PALM COAST
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	321645999
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3865862889
	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	100118
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLORIDA HOSPITAL FLAGLER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100068
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y