Physician Compare National (NPI:1134354962)

HEALTHCARE PROVIDER: GAUTAM GADEY 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	1134354962
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779789102
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131115001337
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GADEY
	Individual professional last name
Provider First Name	GAUTAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FOUNDATION MEDICAL PARTNERS INC
	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	9436140456
	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	265
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8 PROSPECT ST
	Group Practice or individual's line 1 address
City	NASHUA
	Group Practice or individual's city
State	NH
	Group Practice or individual's state
Zip Code	030603925
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220171
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	300020
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTHERN NH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	220033
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHEST HOSPITAL CORPORATION
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	220105
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WINCHESTER HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y