Physician Compare National (NPI:1063474435)

HEALTHCARE PROVIDER: GUSTAV R ELES DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063474435
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254226467
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040217000800
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELES
	Individual professional last name
Provider First Name	GUSTAV
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ALLEGHENY CLINIC
	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	5395649586
	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	1547
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	995 BEAVER GRADE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B2
	Group Practice or individual's line 2 address
City	CORAOPOLIS
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	151082766
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4123598820
	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	390163
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ACMH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390050
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALLEGHENY GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390199
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PUNXSUTAWNEY AREA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390090
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WEST PENN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y