Physician Compare National (NPI:1104096437)

HEALTHCARE PROVIDER: MURUGESAN M SIDDHAPPAN 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	1104096437
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456416791
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090424000332
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIDDHAPPAN
	Individual professional last name
Provider First Name	MURUGESAN
	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	1988
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3000 N
	Group Practice or individual's line 1 address
Line 2 Street Address	35 TX HLTH RESOURCES
	Group Practice or individual's line 2 address
City	DENTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	76201
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450743
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450634
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CITY DENTON
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y