Physician Compare National (NPI:1063461572)

HEALTHCARE PROVIDER: SARASWATHI DEVI V MUPPANA 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	1063461572
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143233015
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101015000240
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUPPANA
	Individual professional last name
Provider First Name	SARASWATHI DEVI
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Gender	F
	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	1991
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PULMONARY DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	SLEEP MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PULMONARY DISEASE, SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	100 HIGHLAND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	MILTON
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021863801
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220108
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BETH ISRAEL DEACONESS HOSPITAL - MILTON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M