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Physician Compare National (NPI:1134431877)

HEALTHCARE PROVIDER: BEREKET ALEMU 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 1134431877
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2062661887
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20121010000458
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ALEMU
Individual professional last name
Provider First Name BEREKET
Individual professional first 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 1989
Individual professional's medical school graduation year
Primary Specialty NEPHROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name MIDWEST NEPHROLOGY GROUP 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 7214210624
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 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9230 E RENO AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE B
Group Practice or individual's line 2 address
City MIDWEST CITY
Group Practice or individual's city
State OK
Group Practice or individual's state
Zip Code 731303320
Group Practice or individual's zip code (9 digits when available)
Phone Number 4057374900
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 370094
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ALLIANCEHEALTH MIDWEST
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 370028
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 INTEGRIS BAPTIST MEDICAL CENTER, INC
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 370234
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 OKLAHOMA HEART HOSPITAL SOUTH, LLC
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 370215
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 OKLAHOMA HEART HOSPITAL, LLC
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 370149
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 ST ANTHONY SHAWNEE HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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