Physician Compare National (NPI:1033145396)

HEALTHCARE PROVIDER: AKBAR KHAN SHINWARI 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	1033145396
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476537671
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040927000663
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHINWARI
	Individual professional last name
Provider First Name	AKBAR
	Individual professional first name
Provider Middle Name	KHAN
	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	1996
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC PSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PSYCHIATRIC MANAGEMENT SERVICES
	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	7618285057
	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	14
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11690 GROOMS RD
	Group Practice or individual's line 1 address
City	BLUE ASH
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	452421412
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5135811755
	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	360354
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST CHESTER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150048
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	REID HOSPITAL & HEALTH CARE SERVICES
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y