Physician Compare National (NPI:1023275229)

HEALTHCARE PROVIDER: SARA DEREATH COLLINS 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	1023275229
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941487763
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110603000410
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COLLINS
	Individual professional last name
Provider First Name	SARA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	700 CONSTITUTION AVE NE
	Group Practice or individual's line 1 address
City	WASHINGTON
	Group Practice or individual's city
State	DC
	Group Practice or individual's state
Zip Code	200026058
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y