Physician Compare National (NPI:1073771309)

HEALTHCARE PROVIDER: ASHWANI SASTRY MD

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

Individual Professional Information
NPI	1073771309
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113142324
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200506002696
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SASTRY
	Individual professional last name
Provider First Name	ASHWANI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DANVILLE UROLOGIC CLINIC INC
	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	8022067743
	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	17
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	800 MEMORIAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	C
	Group Practice or individual's line 2 address
City	DANVILLE
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	245411680
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4347926826
	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	340002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	341328
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MURPHY MEDICAL CENTER INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	340184
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HAYWOOD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y