Physician Compare National (NPI:1043266752)

HEALTHCARE PROVIDER: AHMAD MACHHOUR IBRAHIMBACHA 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	1043266752
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779663018
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100922000075
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IBRAHIMBACHA
	Individual professional last name
Provider First Name	AHMAD
	Individual professional first name
Provider Middle Name	M.
	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	1982
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SLEEP MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	BLUE RIDGE PULMONARY MEDICINE, PC
	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	3678586963
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	110 DUNHILL PLACE NW
	Group Practice or individual's line 1 address
City	CLEVELAND
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373113883
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4234762212
	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	440185
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TENNOVA HEALTH CARE-CLEVELAND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	441310
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RHEA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	440068
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	STARR REGIONAL MEDICAL CENTER ATHENS
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M