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Physician Compare National (NPI:1033439815)

HEALTHCARE PROVIDER: ANAND KUMAR GUPTA 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 1033439815
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9234310103
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110224000948
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GUPTA
Individual professional last name
Provider First Name ANAND
Individual professional first name
Provider Middle Name K
Individual professional middle 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 1996
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 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name FRANCISCAN PHYSICIAN NETWORK
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 3072790682
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 979
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3700 W 203RD ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 301
Group Practice or individual's line 2 address
City OLYMPIA FIELDS
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 604611182
Group Practice or individual's zip code (9 digits when available)
Phone Number 7086792850
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 140172
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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