Physician Compare National (NPI:1063562957)

HEALTHCARE PROVIDER: KAIDUAN PI 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	1063562957
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618001991
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100823000834
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PI
	Individual professional last name
Provider First Name	KAIDUAN
	Individual professional first 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	CARDIAC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	100 PORT WASHINGTON BLVD
	Group Practice or individual's line 1 address
City	ROSLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	115761353
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5165626000
	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	330182
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST FRANCIS HOSPITAL - THE HEART CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y