Physician Compare National (NPI:1114280401)

HEALTHCARE PROVIDER: SARA ADIBI 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	1114280401
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860709623
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150911001024
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADIBI
	Individual professional last name
Provider First Name	SARA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	INNOVATIVE EMERGENCY PHYSICIANS OF FRISCO, PA
	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	1456590371
	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	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5601 WARREN PKWY
	Group Practice or individual's line 1 address
City	FRISCO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750344069
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2144075000
	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	450885
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT AND WHITE MEDICAL CENTER CENTENNIAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450853
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y