Physician Compare National (NPI:1134116007)

HEALTHCARE PROVIDER: MARCELLUS R CEPHAS 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	1134116007
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527954957
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120223000105
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CEPHAS
	Individual professional last name
Provider First Name	MARCELLUS
	Individual professional first name
Provider Middle Name	R
	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	OTHER
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7610 CARROLL AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	TAKOMA PARK
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	209126312
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	210016
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330215
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROME MEMORIAL HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y