Physician Compare National (NPI:1124018692)

HEALTHCARE PROVIDER: JAMES ANGELO SUMMA 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	1124018692
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153365481
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060311000001
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUMMA
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	ANGELO
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1991
	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	RENAISSANCE RADIOLOGY ASSOCIATES PLLC
	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	0345571881
	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	30
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7204 BLAIRVIEW DR
	Group Practice or individual's line 1 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752305415
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8586463800
	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	050444
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	290009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT MARY'S REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	500053
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TRIOS HEALTH
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450869
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	DOCTORS HOSPITAL AT RENAISSANCE
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M