Physician Compare National (NPI:1063423804)

HEALTHCARE PROVIDER: FEHMIDA A CHIPTY 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	1063423804
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931101482
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110208000270
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHIPTY
	Individual professional last name
Provider First Name	FEHMIDA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DIGESTIVE HEALTH ASSOCIATES P.C.
	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	8527017268
	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	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	91 MONTVALE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	STONEHAM
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021803649
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7815189053
	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	220105
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WINCHESTER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y