Physician Compare National (NPI:1013174143)

HEALTHCARE PROVIDER: PEIMIN ZHU 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	1013174143
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224289319
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130904000177
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZHU
	Individual professional last name
Provider First Name	PEIMIN
	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	1997
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROPSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROPSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE
	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	4082902721
	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	372
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1541 KINGS HWY
	Group Practice or individual's line 1 address
City	SHREVEPORT
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	711034228
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3186755000
	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	190111
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WILLIS KNIGHTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190098
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY HEALTH SHREVEPORT
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190317
	Medicare CCN of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y