Physician Compare National (NPI:1083945851)

HEALTHCARE PROVIDER: EDMUND DOI-HUNG HONG 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	1083945851
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143514901
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200211001592
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HONG
	Individual professional last name
Provider First Name	EDMUND
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	INOVA HEALTH CARE SERVICES
	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	2466351093
	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	967
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	230 W DARES BEACH RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	PRINCE FREDERICK
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	206783151
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3108559754
	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	490063
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INOVA FAIRFAX HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490101
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INOVA FAIR OAKS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y