Physician Compare National (NPI:1013053230)

HEALTHCARE PROVIDER: SADRUDDIN B HEMANI MD

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

Individual Professional Information
NPI	1013053230
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395717003
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050630000331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEMANI
	Individual professional last name
Provider First Name	SADRUDDIN
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	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	1964
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ALLERGY/IMMUNOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ALLERGY/IMMUNOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	21 HIGHLAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 10
	Group Practice or individual's line 2 address
City	NEWBURYPORT
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	019503873
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ANNA JAQUES HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y