Physician Compare National (NPI:1134331986)

HEALTHCARE PROVIDER: PETER K ASAFO-ADJEI 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	1134331986
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244330918
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070710000760
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ASAFO-ADJEI
	Individual professional last name
Provider First Name	PETER
	Individual professional first name
Provider Middle Name	K
	Individual professional middle 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	1996
	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	1409 E LAKE MEAD BLVD
	Group Practice or individual's line 1 address
City	NORTH LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	890307120
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUNRISE HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	290005
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTH VISTA HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y