Physician Compare National (NPI:1124011564)

HEALTHCARE PROVIDER: PATRICK PELLECCHIA 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	1124011564
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890983787
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101220000292
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PELLECCHIA
	Individual professional last name
Provider First Name	PATRICK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1650 HUNTINGDON PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 350
	Group Practice or individual's line 2 address
City	MEADOWBROOK
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190468009
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390097
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOLY REDEEMER HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390196
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOSPITAL OF THE FOX CHASE CANCER CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y