Physician Compare National (NPI:1023422219)

HEALTHCARE PROVIDER: MRINALINI PANTHAGANI 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	1023422219
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315225422
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170922002291
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PANTHAGANI
	Individual professional last name
Provider First Name	MRINALINI
	Individual professional first name
Provider Gender	F
	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	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	VAN HOOK INPATIENT SERVICES, 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	1355594318
	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	38
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	19600 E 39TH ST S
	Group Practice or individual's line 1 address
City	INDEPENDENCE
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	640572301
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8166987000
	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	260138
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST LUKES HOSPITAL OF KANSAS CITY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260095
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CENTERPOINT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260216
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAINT LUKE'S EAST HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y