Physician Compare National (NPI:1023240132)

HEALTHCARE PROVIDER: RAJIV PAUDEL 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	1023240132
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759538580
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150803002782
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAUDEL
	Individual professional last name
Provider First Name	RAJIV
	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	2006
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BHS PHYSICIANS NETWORK 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	7315019593
	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	463
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1808 HWY 97 E
	Group Practice or individual's line 1 address
Line 2 Street Address	HEART AND VASCULAR INSTITUTE OF TEXAS
	Group Practice or individual's line 2 address
City	JOURDANTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	780261535
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8305694003
	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	450058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	451364
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OTTO KAISER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450165
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	METHODIST HOSPITAL SOUTH
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y