Physician Compare National (NPI:1104059468)

HEALTHCARE PROVIDER: AMANDEEP SINGH 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	1104059468
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244377364
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140227001555
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SINGH
	Individual professional last name
Provider First Name	AMANDEEP
	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	2000
	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	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MONROE MEDICAL GROUP 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	0446576680
	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	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4011 S MONROE MEDICAL PARK BLVD
	Group Practice or individual's line 1 address
City	BLOOMINGTON
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	474038000
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8128251111
	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	150183
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MONROE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150051
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y